April 2012

Large tumor mass in the midline

Clinical Info

22 months old male patient
Swollen abdomen. The patient was referred under suspicion of chronic obstipation

Ultrasound Images & Clips

Large tumor mass in the abdomen

Transverse image of the abdomen showing a large tumor mass
Transverse image of the abdomen showing a large tumor mass
Longitudinal image of the abdomen showing a large tumor mass encasing the large vessels
Longitudinal image of the abdomen showing a large tumor mass encasing the large vessels
Transverse image of the abdomen showing a large tumor mass encasing the large vessels
Transverse image of the abdomen showing a large tumor mass encasing the large vessels
Transverse image showing the tumor extending towards the right kidney
Transverse image showing the tumor extending towards the right kidney
Longitudinal image of the right kidney that is normal
Longitudinal image of the right kidney that is normal
High resolution image of the left kidney that is displaced and deformed by the tumor mass
High resolution image of the left kidney that is displaced and deformed by the tumor mass
Another image of the deformed left kidney
Another image of the deformed left kidney
The lowerpole of the left kidney is normal
The lowerpole of the left kidney is normal
Area of calcifications in the tumor mass
Area of calcifications in the tumor mass

Conclusion

In cases of a large tumor mass like this in a young child the most likely diagnosis is a neuroblastoma or a nephroblastoma. The mass had a tendency to displace and deform the kidney more than invade the kidney. The calcifications and the extension of the mass along the retroperitoneal structures and encasing the vessels are more characteristic for a neuroblastoma. The child was referred to a pediatric oncological center where the mass indeed proved to be a neuroblastoma


Details

  • Sex: Male

Created with

  • Hitachi Ultrasound System