In 1977 Hornstein et al1 reported the occurrence of adrenal carcinoma in a child with fetal alcohol syndrome. Recently Seeler et al2 noted a ganglioneuroblastoma in a child with fetal hydantoin-alcohol syndromes. The association of neural crest tumors with fetal hydantoin syndrome now appears established.2 The following case suggests an association with neoplasia may also exist for fetal alcohol syndrome.
T.E. was the 1,360 gm product of a 35-week gestation born to a 30-year old, black primigravida. At 11 days of age the patient was transferred to Duke Hospital for evaluation of multiple congenital anomalies and repair of a right-sided diaphragmatic hernia.