Abstract:A case of bilateral cystic neuroblastoma with liver metastases in a newborn is reported. CT showed a 10 cm right suprarenal multicystic mass and numerous hepatic cystic masses with intracystic fluid-fluid levels. Multiple smaller cystic lesions were also present in the left adrenal gland. To our knowledge, the CT findings of neonatal bilateral cystic neuroblastoma with liver metastasis and massive acute intracystic haemorrhage has not been previously documented.
“…4) [2]. Bilateral cystic NBL has been reported and acute massive intracystic haemorrhage is reckoned to be an ominous sign [15, 16]. Figure 4Imaging of a 2-week-old girl with an antenatally diagnosed right supra-renal lesion.…”
Section: Congenital and Neonatal Nblmentioning
confidence: 99%
“…It is difficult to differentiate on imaging alone between NBL, ganglioneuroblastoma and ganglioneuroma [2, 15]. Distant metastases are quite rare for ganglioneuroma.…”
Section: Differential Diagnosis Of Neurogenic Tumoursmentioning
The natural history, biologic and histological features, and the presenting symptoms of neuroblastoma are reviewed. The radiological findings of this neurogenic paediatric tumour are discussed.
“…4) [2]. Bilateral cystic NBL has been reported and acute massive intracystic haemorrhage is reckoned to be an ominous sign [15, 16]. Figure 4Imaging of a 2-week-old girl with an antenatally diagnosed right supra-renal lesion.…”
Section: Congenital and Neonatal Nblmentioning
confidence: 99%
“…It is difficult to differentiate on imaging alone between NBL, ganglioneuroblastoma and ganglioneuroma [2, 15]. Distant metastases are quite rare for ganglioneuroma.…”
Section: Differential Diagnosis Of Neurogenic Tumoursmentioning
The natural history, biologic and histological features, and the presenting symptoms of neuroblastoma are reviewed. The radiological findings of this neurogenic paediatric tumour are discussed.
“…Cystic adrenal neuroblastomas with cystic liver metastasis are very rare and have been reported only twice previously [14,15]. The metastatic lesions in the liver are usually multiple and cystic, and show a characteristic 3-layer fluidfluid level on the CT scan [14,15].…”
Section: Discussionmentioning
confidence: 99%
“…The metastatic lesions in the liver are usually multiple and cystic, and show a characteristic 3-layer fluidfluid level on the CT scan [14,15]. Removal of the main cystic mass often causes the liver deposits to regress.…”
The gamut of abdominal and pelvic cystic masses in children is long with lesions affecting the urogenital tract and retroperitoneum, gastrointestinal tract and mesentery, hepatobiliary tract, and spleen. The goal of this pictorial review is to display the radiological manifestations of these disorders. The radiologist will learn, from this review of the differential diagnosis, how to reach a diagnosis after analyzing the characteristic findings using the appropriate imaging diagnostic studies among the various modalities available in his armamentarium, and the optimal management of these conditions.
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