Neuroblastoma with skull metastases
Diagnosis almost certain
Updates to Case Attributes
Title
was changed:
Neuroblastoma with skull metastasismetastases
Race
changed from Middle eastern to .
Body
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In this case, the skull 'sunray'sun-ray' spiculation, and the subpericranial metastatic depostisdeposits leaves no room for error. Indeed it has been stated that there is no differential diagnosis in the paediatric group.
Cranial sutures diastasis is due to suture metastatic invasion.
This is a stage 4 neuroblastoma, with contralateral nodes, and distant, skull cortex metastasis.
-<p>In this case, the skull 'sunray' spiculation, and the subpericranial metastatic depostis leaves no room for error. Indeed it has been stated that there is no differential diagnosis in the paediatric group.</p><p>Cranial sutures diastasis is due to suture metastatic invasion.</p><p>This is a stage 4 neuroblastoma, with contralateral nodes, and distant, skull cortex metastasis.</p>- +<p>In this case, the skull 'sun-ray' spiculation, and the subpericranial metastatic deposits leaves no room for error. Indeed it has been stated that there is no differential diagnosis in the paediatric group.</p><p>Cranial sutures diastasis is due to suture metastatic invasion.</p><p>This is a stage 4 neuroblastoma, with contralateral nodes, and distant, skull cortex metastasis.</p>
Diagnostic Certainty
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Updates to Study Attributes
Findings
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Moth-eaten osteolytic lesions, with hair-on-end appearance, and sun-ray spiculation. Diffusely Diffusely widened sutures is also noted.
Caption
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Updates to Study Attributes
Caption
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Findings
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Diffusediffuse moth-eaten osteolytic lesions. -
Softsoft-tissue-density intra- and extra- cranial mass lesions. -
Sunsun-ray spiculations, directed intra- andextra- craniallyextracranially, and traversing the previously depicted masses.
Updates to Study Attributes
Findings
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Heterogenouslyheterogeneously enhancing right suprarenal mass lesion showing areas of calcification and breakdown. -
Bilateralbilateral paraaortic enlarged lymph nodes showing evidence of calcification, and breakdown. -
Leftleft hepatic lobe hypodense focal lesion (segment IVa)
Updates to Quizquestion Attributes
Question
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What is the malignancy stage:?
Updates to Quizquestion Attributes
Question
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Why not 4S. ?