Question:

Which is true about imaging differential diagnosis of abdominal cystic masses:
1. Stromal tumors frequently present calcifications.
2. Mesenteric lymphangiomas can present fat attenuation.
3. Angiomyolipomas do not have blood attenuation in non-enhanced images.
4. Wilms tumors are predominantly cystic neoplasms.
5. Neuroblastomas are always non invasive lesions.





Answer:

The correct answer for the question "Which is true about imaging differential diagnosis of abdominal cystic masses:" is:

2. Mesenteric lymphangiomas can present fat attenuation.



Explanation
1. This is not a common imaging feature in stromal tumors. [They are rarely associated with calcifications].

2. Mesenteric lymphangiomas cystic components can actually have fat attenuation. [ Cystic masses, with attenuation patterns ranging from fluid (if the contents are serous) to that of fat (if the contents are chylous)].

3. This neoplasms can present spontaneous hemorrhage. [Spontaneous hemorrhage presenting as irregular high density images in non-contrast scans is a common complication.]

4. Although they can have cystic components they are mainly solid. [ Wilms tumor is a predominantly solid mass containing regions of low attenuation suggesting hemorrhage or necrosis ].

5. Neuroblastoma can invade other structures. [Rarely, neuroblastomas invade the lumen of blood vessels ].



From the manuscript:
Pediatric Gastric Teratoma
Radiology Case. 2010 Oct; 4(10):6-13


This article belongs to the Pediatric section.




Bookmark and Share

From the manuscript

Pediatric Gastric Teratoma

Free full text article: Pediatric Gastric Teratoma

Abstract
Neoplasms from germ cell origin are a heterogeneous group of tumors rarely seen in the pediatric population, teratoma is the most frequent among them. They can occur in either gonadal or extragonadal locations. Extragonadal teratoma arising from abdominal viscera is very unusual. There are less than a hundred reported cases of gastric teratoma in the worldwide literature. Since the occurrence of this pathology in the pediatric age group is quite rare, we describe a case of a teratoma located in the lesser curvature of the stomach in an infant with an emphasis in radiologic-pathologic correlation.






References



1. Eustermann GB, Sentry EG. Benign tumours of the stomach: report of 27 cases. Surg Gynecol Obstet 1922; 34:372-8.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Bourke CJ, Mackay AJ, Payton D. Malignant gastric teratoma: case report. Pediatr Surg Int 1997; 12:192-3
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Moriuchi A, Nakayama A, Muta H. Gastric teratoma of children: a case report and review of literature. Acta Pathol Jpn 1977; 27: 48-58.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Gengler JS, Ashcraft KW, Slattery P. Gastric teratoma: the sixth reported case in a female infant. J Pediatr Surg 1995;30: 889-90.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. ?orap?ioglu F, Ekingen G. Immature Gastric Teratoma of Childhood: A Case Report and Review of The Literature. J Pediatr Gastroenterol Nutr 2004; 39(3): 292-294.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Gupta DK, Srinivas M, Dave S, Agarwala S, Bajpai M, Mitra DK. Gastric teratoma in children. Pediatr Surg Int 2000; 16: 329-332.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Curtis JL, Burns RC, Wang L, Mahour GH, Ford HR. Primary gastric tumors of infancy and childhood: 54-year experience at a single institution J Pediatr Surg. 2008 Aug; 43(8): 1487-93.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Morrison L, Snodgrass P, Wiseman H. Gastric teratoma: Report of a case and review of literature. Clin Pediatr 1975; 14: 712-718.9 Bowen B, Ros PR, McCarthy MJ, Olmsted WW, Hjermstad BM
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Ratan SK, Kulshreshtha R. Immature gastric teratoma in an infant. Indian Pediatr 1999; 36:847-9.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Levy AD, Remotti HE, Thompson WM, Sobin LS, Miettinen M. From the Archives of the AFP: Gastrointestinal Stromal Tumors: Radiologic Features with Pathologic Correlation. Radiographics 2003; 23: 283-304.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Haley T, Dimler M, Hollier P. Gastric teratoma with gastrointestinal bleeding. J Pediatr Surg 1986; 21(11): 949-50.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. De Angelis VR: Gastric teratoma in a newborn infant. total gastrectomy with survival. Surgery 1969; 66: 794-797.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Childhood extracranial germ cell tumors treatment. National Cancer institute. Updated June 24, 2010 http://www.cancer.gov/cancertopics/pdq/treatment/extracranial-germ-cell/HealthProfessional/page7
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Gamanagatti S, Kandpal H. Gastric teratoma. Singapore Med J 2007; 48(4): 99.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Aquisto TM, Yost R, Marshall KW. Anaplastic Wilms Tumor: Radiologic and Pathologic Findings. RadioGraphics 2004; 24: 1709-1713.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


17. Lowe LH, o Isuani BH, Heller RM. Pediatric Renal Masses: Wilms Tumor and Beyond. RadioGraphics 2000; 20: 1585-1603.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


18. Stoupis C, Ros PR, Abbitt PL, Burton SS, Gaugei J. Bubbles in the Belly Imaging of Cystic Mesenteric or Omental Masses . RadloGraphics 1994; 14:729-737.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


19. Cifuentes M, Calleja F, Hola J, Davi? A, Jara D, Vallejos J. Angiomiolipoma renal complicado como causa de dolor lumbar: Caso cl?nico. Rev M?d Chile 2008; 136: 1031-1033.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


20. Ammar SA. Successful Excision Of An Enormous Mesenteric Lymphangioma In An Adult: Report Of A Case. The Internet Journal of Surgery 2008; (17) 1.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


21. West SF, Correa JD, Germaine M, Balsam D, Rosen J. Neuroblastoma. Imaging Emedicine 2004
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. Teratoma

2. neoplasm

3. stomach

4. germ cell tumor


This article belongs to the Pediatric section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports