IMAGES IN MEDICINE
The catenulaform of neuroblastoma
Department of Surgery, the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China
Correspondence to:
Professor H Qin, Department of Surgery, the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University, 600 Yishan Road, Shanghai 200233, China; hl-qin@hotmail.com
Keywords: catenuloform neuroblastomas; computed tomography
| The first 150 words of the full text of this article appear below. |
A 21-year-old man presented with a 6 month history of pain in both lower extremities and abdomen. There was no family history of note. Examination revealed firm intra-abdominal masses. There were no abdominal scars or hernias and no other specific features. Routine blood tests showed no significant abnormalities. Unenhanced computed tomography (CT) images through the abdomen and pelvis demonstrated five contiguous well defined soft tissue masses lying closely adjacent to the aorta and left common iliac artery in the retroperitoneum, causing some compression of these vessels. The masses were associated with some central amorphous calcification (fig 1A). Following contrast they showed heterogeneous and rim enhancement (fig 1B). Given the distribution of these masses, the differential diagnosis included tumours of neuroendocrine origin, arising from the neural crest of the sympathetic nervous system. The masses were resected at laparotomy and histopathological examination with immunohistochemistry confirmed these to be
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