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Neuroblastoma with intraspinal extension
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MedPix Image - MedPix Case
Affiliation: Tripler Army Medical Center
ABSTRACT
Diagnosis: Neuroblastoma with intraspinal extension History: One-year-old boy was walking, but now only crawls. Findings: Image 1: Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney. There is also increase T2 signal in several vertebral bodies. Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing. Image 2: Fat-saturated Sagital T2 MRI of the spine shows a soft-tissue appearing mass that has invaded and insinuated itself within the epidural space - compressing the spinal cord. Ddx: If intraspinal extension were the only manifestation and the lesion were sharply marginated, spherical, or fusiform, then more benign nerve root tumors such as neurofibroma or schwannoma would be considered. Ganglioneuroma and ganglioneuroblastoma are also possible. However, given the large adrenal mass and the bone metastases, neuroblastoma becomes the primary consideration. Exam: N/A No MeSH data available. |
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MPX1020_synpic17477: Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney. There is also increase T2 signal in several vertebral bodies. Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing. |
View Article: MedPix Image - MedPix Case
Affiliation: Tripler Army Medical Center
Diagnosis: Neuroblastoma with intraspinal extension
History: One-year-old boy was walking, but now only crawls.
Findings: Image 1: Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney. There is also increase T2 signal in several vertebral bodies. Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing. Image 2: Fat-saturated Sagital T2 MRI of the spine shows a soft-tissue appearing mass that has invaded and insinuated itself within the epidural space - compressing the spinal cord.
Ddx: If intraspinal extension were the only manifestation and the lesion were sharply marginated, spherical, or fusiform, then more benign nerve root tumors such as neurofibroma or schwannoma would be considered. Ganglioneuroma and ganglioneuroblastoma are also possible. However, given the large adrenal mass and the bone metastases, neuroblastoma becomes the primary consideration.
Exam: N/A
No MeSH data available.
