Cystic adrenal neuroblastoma

Case contributed by Dr. Emine Caliskan

Presentation

Abdominal distension. Elevated neuron-specific enolase (NSE).

Patient Data

Age: 2 months-old
Gender: Female
MRI

MRI demonstrates a cystic lesion in the right adrenal gland. The thin wall of the cystic lesion is contrast-enhanced. Additionally, a nodular lesion was seen compatible with metastasis in the left lobe of the liver (red arrow).

Case Discussion

Cystic adrenal neuroblastoma with liver metastasis is a rare condition. MRI revealed that the lesion was cystic in nature with the thick walls of the lesion showing contrast-enhancement. No solid components were detected in lesion. Differential diagnosis in adrenal masses includes hamartoma and hemorrhage. Most cystic neuroblastomas have a good prognosis and show spontaneous regression.

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Case information

rID: 53910
Case created: 13th Jun 2017
Last edited: 20th Jun 2017
Inclusion in quiz mode: Included

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