PANCREATOBLASTOMA- A CASE REPORT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 32
Abstract
CASE PRESENTATION A 3-year-old male child referred to the radiology department with complaints as explained by parents - loss of appetite & loss of body weight since 6 months, feeling of mass in upper abdomen since 1 month, and occasional vomiting since 1 month. On local examination, a firm non-tender mass was palpable in epigastric region and left hypochondriac region. DIFFERENTIAL DIAGNOSES 1) Neuroblastoma 2) Wilms Tumor 3) Hepatoblastoma and other primary liver tumours. 4) Non-Hodgkin’s Lymphoma-especially Burkitt’s lymphoma. USG Findings-A large 10 x 8 cm well defined, predominantly hypoechoic soft tissue mass with few areas of anechogenicity noted in the left hypochondrium and epigastric region, probably arising from the pancreatic body and tail. The lesion was taking minimal flow on colour Doppler. The lesion was causing mass effect on the spleen, left kidney and stomach. Rest of the abdomen appeared normal. CECT Abdomen Findings On Plain CT- A large well defined heterogeneous soft tissue density mass with solid and cystic components noted arising from the body and tail region of the pancreas, there was no calcification noted. On Post Contrast Imaging- The lesion showed moderate heterogeneous enhancement with non-enhancing necrotic areas. Neither vascular invasion nor hepatic metastasis noted.
Authors and Affiliations
Mogili Vittal Reddy, Swathi B. , Kuchukulla Venkat Ram Reddy, (Brig). Sathya Narayana Moorthy R. , Gaddam Rama Krishna Reddy
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