Cystic Neuroblastoma in Infancy: a report of 3 cases
نویسنده
چکیده
Case 1 A newborn baby was admitted to hospital at the age of 23 days old with fever of unknown origin up to 39 ̊C. The female newborn was born by a G2P2 healthy mother by caesarean section at 40 week’s gestation in a local clinic and weighed 3600 gm. The perinatal examination was unremarkable. Delivery course was smooth. Septic workup was arranged but no definite pathogen was identified. On physical examination, the patient was pale and a palpable abdominal mass was noted. Abdominal ultrasound showed a cystic mass cephalic to left kidney. Abdominal CT showed a welldefined mixed density mass lesion occupying the left upper abdomen on pre-contrast study. Marginal enhancement with central septation and cystic component in the lesion which caused external compression to upper pole of left kidney were seen on enhanced study (Fig. 1a, 1b). The density of the cystic compartment and the densities of wall in the precontrast and postcontrast studies were listed in Table 1, respectively. Laboratory investigations showed hemoglobin was 8.0 mg/dl and urine for vanillylmandelic acid (VMA) was within normal limit. At surgery, a left adrenal cystic lesion was measured about 9x6x6 cm which was encapsulated and firmly adhered to superior mesenteric artery (SMA), pancreas and left renal hila. Total removal was performed. Microscopically, the encapsulated tumor had hemorrhage, necrosis and cystic change, and acute inflammatory exudate was present in the cystic cavity. Schwannian stroma or ganglion cells differentiation was not evident. Poorly Reprint requests to: Dr. Shin-Lin Shih Department of Radiology, Mackay Memorial Hospital. No. 92, Sec. 2, Chung Shan N. Road, Taipei 10449, Taiwan, R.O.C. Cystic Neuroblastoma in Infancy: a report of 3 cases
منابع مشابه
Acute Hemorrhagic Edema of Infancy: Report of Two Cases Report
Introducon: Acute hemorrhagic edema of infancy (AHEI) is a cutaneous leukocytoclas!c vasculi!s of infants, clinically characterized by acute development of peripheral edema and targetoid purpuric lesions on face and extremi!es. It is considered to be an uncommon form of cutaneous vasculi!s occurring in children younger than 2 years old. The clinical picture has a violent onset, a short beni...
متن کاملCongental Glucose- Galactose Malabsorption a Rare Cause of Diarrhea in Infancy Period: Report of Two Cases
متن کامل
Congenital Cystic Adenomatoid Malformation (CCAM) of Lung in an Infant: A Case Report from Jammu & Kashmir, Northern India
Congenital cystic Adenomatoid malformation is a rare developmental abnormality of the lung occuring in 1-4/100000 live births.In most cases the outcome with CCAM in fetus is very good,while in some cases the outcome is very bad and can be life threatning for the fetus.we report here a case of 40 day old female infant who presented with worsening respiratory distress since birth and x ray and CT...
متن کاملBilateral Cystic Adrenal Neuroblastoma with Cystic Liver metastasis
Bilateral congenital cystic adrenal neuroblastoma (NB) with cystic liver metastasis is a very rare condition and only few cases have been reported in the literature. Herein we report a case of a congenital bilateral cystic adrenal NB with cystic liver metastasis and briefly discuss characteristic imaging features of cystic NB.
متن کاملA Case Report of Adenoid Cystic Carcinoma in Breast in Buali Hospital
SUMMARY An infrequent case of adenoid cystic carcinoma is described. Four years ago a 35 year old women was admitted to BuAli Hospital because of a firm painful mass near her left areola. The pathologic diagnosis after surgery was adenoid cystic carcinoma of breast. Up to now the patient is quite well without recurrence. incidence. Adenoid cystic carcinoma is an infrequent type of breast ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2005