title: Bilateral hemorrhagic cystic adrenal neuroblastoma with liver and lymph nodal metastases in an infant.
abstract: A 6-month-old boy presented with pallor, large left hypochondrial mass and hepatomegaly. Computerized tomography (CT) revealed cystic lesions in bilateral adrenals, liver and retroperitoneal lymph nodes and a lytic left femur lesion. There was hemorrhagic aspirate with round blue cells. Excised left sided mass with adjacent lymph nodes and biopsies of others confirmed well differentiated neuroblastoma. He received 4 cycles of chemotherapy with remaining lesions markedly reduced at 2 months CT scan. At 2 year follow up he is doing well.
authors.affiliation: Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Prema
authors.initials: P
authors.lastname: Menon
authors.forename: Deepak
authors.initials: D
authors.lastname: Bansal
authors.forename: Soni
authors.initials: S
authors.lastname: Lyngdoh
authors.forename: Kirti
authors.initials: K
authors.lastname: Gupta
authors.forename: Kushaljit
authors.initials: K
authors.lastname: Sodhi