Del Vescovo Riccardo, Cazzato Roberto Luigi, Battisti Sofia, D'Agostino Francesco, Vincenzi Bruno, Grasso Rosario Francesco, Zobel Bruno Beomonte
Department of Radiology, Campus Bio-Medico, University of Rome, Italy.
J Med Case Rep. 2011 Oct 5;5:506. doi: 10.1186/1752-1947-5-506.
Neuroendocrine tumors are a rare but diverse group of malignancies that arise in a wide range of organ systems, including the mediastinum. Differential diagnosis includes other masses arising in the middle mediastinum such as lymphoma, pericardial, bronchogenic and enteric cysts, metastatic tumors, xanthogranuloma, systemic granuloma, diaphragmatic hernia, meningocele and paravertebral abscess.
We present a case of 42-year-old Caucasian man with a neuroendocrine tumor of the middle-posterior mediastinum and liver metastases, which resembled a lymphoma on magnetic resonance imaging.
The differential diagnosis in patients with mediastinal masses and liver lesions should include neuroendocrine tumor.
神经内分泌肿瘤是一组罕见但多样的恶性肿瘤,可发生于包括纵隔在内的多种器官系统。鉴别诊断包括中纵隔出现的其他肿块,如淋巴瘤、心包囊肿、支气管源性囊肿和肠源性囊肿、转移性肿瘤、黄色肉芽肿、系统性肉芽肿、膈疝、脑脊膜膨出和椎旁脓肿。
我们报告一例42岁的白种男性,患有中后纵隔神经内分泌肿瘤并伴有肝转移,其在磁共振成像上类似淋巴瘤。
纵隔肿块和肝脏病变患者的鉴别诊断应包括神经内分泌肿瘤。