Neonatal neuroblastoma

Case contributed by Aneta Kecler-Pietrzyk
Diagnosis almost certain

Presentation

Term neonate admitted to hospital with urinary tract infection. Ultrasound was requested to rule out underlying pathology.

Patient Data

Age: 28 days
Gender: Female
ultrasound
Download
Info

Spot images from renal ultrasound representing a mass posterior to left kidney hilum. 

ct
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
Download
Info

Large, partially peripherally calcified mass is seen anteriorly to the upper pole of the left kidney corresponding to the findings from ultrasound and representing neuroblastoma (confirmed histopathologicaly).

Case Discussion

Neonatal neuroblastoma is a type of congenital neuroblastoma, which is diagnosed within the first month of the life. In the majority of cases, the tumour is localised in the adrenal gland. 

Neonatal neuroblastoma accounts for less than 5% of all cases of neuroblastoma and carries a favourable prognosis with most cases being low risk for metastases and recurrence, however around 20% of neonatal neuroblastoma presents with spinal cord compression due to metastatic disease. 

This case presents neuroblastoma arising from the left adrenal gland which could have been easily mistaken for stomach or loop of bowel on ultrasound. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

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

 Thank you for updating your details.