- MedPix™ TF Case: 14013 ::
Topic - Dx: Metastatic neuroblastoma :: Search Icon

History

Age: 5 :: Gender: boy

Patient History

5 year old boy who presents with painless skull mass and diplopia

Exam


Physical Exam and Laboratory

Unrevealing

Caption


Axial :: MR - FLAIR :: ACR Code: 1.3

Metastatic Neuroblastoma

Bony inflitrative masses with bilateral calvarial and orbital involvement. Skull mass has both epidural and scalp extension.
Orbital metastases invade superior and lateral extraconal spaces.

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Findings


Summary of Findings

• Bony inflitrative masses with bilateral calvarial and orbital involvement.
• Skull mass has both epidural and scalp extension.
• Orbital metastases invade superior and lateral extraconal spaces.

Diffferential


Differential Diagnosis

• Metastatic Neuroblastoma
• Langerhan histocytosis

Diagnosis


Case Diagnosis

Dx: Metastatic neuroblastoma


Dx Confirmed by: Surgery and Pathology

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Discussion


Discussion for this Patient

This boy had an abdominal/retroperitoneal neuroblastoma that was diagnosed last year.

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TF Case Contributor Credits
Submitted by: Steven J Goldstein - Author Info
Case/Image Editor: James G. Smirniotopoulos, M.D. - Editor Info
Case Accepted: 2011-12-07 15:19:47-05 :: Revised: 2011-10-28 14:10:36.401807-04 :: Submitted: 2011-10-28 14:10:36.401807-04
CME Start: 20111130 :: CME End: 20110417 :: CME Review Due: 20141130

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