Challenge in preoperative diagnosis of retroperitoneal mucinous cyst in a pediatric patient

Mucinous cystic lesions of the retroperitoneum can be either neoplastic or non-neoplastic. It is very important to make a correct diagnosis, or at least, an accurate classification, to proceed with an optimal treatment strategy.

In spite of advantage of ultrasound and X-ray image examinations, it is still a challenge to make differential diagnosis of retroperitoneal mucinous cyst from gangliocytoma because both tumors have similar density under the image assessment. In this article, we reported an asymptomatic 8-year-old boy with multiple bronchogenic cysts in both lung and adrenal area on the left side, the latter was considered to be a gangliocytoma preoperatively by ultrasound and computed tomography, but confirmed as bronchogenic cyst by histopathology post laparoscopic resection. The differential diagnosis, imaging features and treatment of bronchogenic cyst are discussed and the relative literatures are reviewed.

International journal of clinical and experimental medicine. 2015 Oct 15*** epublish ***

Deying Zhang, Yan Zhang, Xing Liu, Jin Zhu, Chuan Feng, Chunjiang Yang, Shengde Wu, Junhong Liu, Yi Hua, Feng Liu, Nan Zhang, Yuanyuan Zhang, Dawei He, Tao Lin, Guanghui Wei

Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China. , Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Stomatological Hospital of Chongqing Medical University Chongqing, China. , Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Pathology, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Radiology, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Ultrasonography, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China. , Wake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine Winston-Salem, North Carolina, USA. , Wake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine Winston-Salem, North Carolina, USA. , Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China. , Department of Urology, Children's Hospital of Chongqing Medical University Chongqing, China.

PubMed