Diagnostic Dilemma

Lump in abdomen

A 1 month old girl presented with abdominal distension for 5 days. Birth history was normal and she had achieved social smile. On examination, weight was 3.3 kg, she had pallor and an abdominal lump over the upper quadrant of abdomen. Ophthalmological examination showed no cherry red spot. USG abdomen was suggestive of mass arising above right kidney and traversing midline. Hemogram showed pancytopenia. Liver and renal function tests were normal.

What is likely diagnosis_?
Expert Opinion :
CT abdomen was suggestive of infantile neuroblastoma. Bone marrow examination confirmed the diagnosis of neuroblastoma.
Answer Discussion :
8 years ago
Andrew Taylor
8 years ago

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