Corrias Giuseppe, Ragucci Monica, Basturk Olca, Saba Luca, Mannelli Lorenzo
From the *Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY; †Department of Radiology, University of Cagliari, Via Università, Cagliari; ‡IRCCS SDN, Naples, Italy; and §Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.
Clin Nucl Med. 2017 Nov;42(11):e482-e483. doi: 10.1097/RLU.0000000000001822.
A previously healthy 4-year-old girl presented with petechial rash and low platelet count. There were no other symptoms. On abdominal ultrasound, a 4.7-cm heterogeneous mass was demonstrated anterior to the left kidney. An abdominal MRI subsequently performed demonstrated a heterogeneously enhancing mass at the same location extending to the pancreas and spleen. A surgical biopsy of the mass was obtained. Pathology reported a malignant epithelioid neoplasm consistent with pancreatoblastoma. The mass demonstrated intense FDG uptake on PET and an FDG avid retrocaval lymph node.
一名此前健康的4岁女孩出现瘀点皮疹和血小板计数低的症状。没有其他症状。腹部超声显示左肾前方有一个4.7厘米的异质性肿块。随后进行的腹部MRI显示同一位置有一个异质性强化肿块，延伸至胰腺和脾脏。对该肿块进行了手术活检。病理报告为与胰腺母细胞瘤一致的恶性上皮样肿瘤。该肿块在PET上显示强烈的FDG摄取，还有一个FDG摄取活跃的腔后淋巴结。
