Metastatic neuroblastoma

Case contributed by Dr Hazem M Almasarei

Presentation

The patient complained of flu-like symptoms, then medical help was sought from a general practice clinic and the physician there noticed an abdominal mass.

Patient Data

Age: 6 months
Gender: Female
CT

There is a heavily calcified well-defined oval-shaped soft tissue mass in left suprarenal area displacing the left kidney downward. There are enlarged regional retroperitoneal lymph nodes. No evidence of intraspinal extension. It is partially encasing the aorta and the renal vessels. There is rounded hypodensity in segment four of the liver raising the possibility of liver metastasis. The cuts on the lower chest showed multiple heavily calcified pleural based and pulmonary nodules/metastasis. As well there are anterior mediastinal calcified masses. The spleen, pancreas appear unremarkable. Apart from the adjacent mass effect. No biliary dilatation No ascites.

Stage IV disease with heavily calcified left suprarenal tumour, multiple pulmonary and pleural-based metastases.  On top of differential diagnosis is neuroblastoma.

CT

CT guided lung biopsy:

  • Biopsy device: 18G x 9 cm needle. Hunter seal was used.
  • Biopsy site: Right lower lung mass
  • Number of samples: 5.
  • Medium: Formalin.
Pathology

Pathology report.

Case Discussion

The most common calcified mass in the suprarenal region in children is neuroblastoma.

PlayAdd to Share

Case information

rID: 57749
Published: 6th Feb 2018
Last edited: 6th Feb 2018
Inclusion in quiz mode: Included
Institution: King Hussein Cancer Center

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.