CASE 219: RETROPERITONEAL TUMOR, Dr PHAN THANH HẢI, Dr NGUYỄN HỮU CHÍ, CHILDREN HOSPITAL 1 and MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Girl 6 yo, recurrent abdominal pain. Ultrasound detected one ovoid mass at the head of pancreas with size of 3x5cm, solid and well-bordered.

Image 1: this mass and IVC.

Image 2: CDI relation with right renal hilus.

Image 3: this mass expanding artery and renal vein.

Image 4:echo structure this mass is inhomogeneous, microcalcification and

hypovascular supplying.

MSCT  with CE: clear borders and  location of  this mass.

Blood tests were normal .

What is your suggestion based on  ultrasound and CT images?

PRE-OPERATION  THERE WERE  3  SUGGESTIONS OF DIAGNOSIS, AS  RETROPERITONEAL TUMOR, ADRENAL  GLAND TUMOR AND PANCREATIC TUMOR OF  PROCESSUS  UNCINATUS.

THIS CASE  WAS OPERATED REMOVING  THIS TUMOR EASILY.  IT  HAD APPEARANCE OF HEAD OF MEDUSA  (SEE  FOTO). THE STRUCTURE  INSIDE THE TUMOR WAS IN  RED COLOR  LIKED  BONE MARROW TISSUE.

MICROSCOPIC REPORT IS NEUROBLASTOMA.