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Pancreatoblastoma With Metastatic Retroperitoneal Lymph Node and PET/CT
Giuseppe Corrias1, Monica Ragucci, Olca Basturk
1From 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.
Abstract:
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.