PMC5253609_01
Figure 1: MRI examination of the patient. A, B) Both lesions (arrows) are hyper-intense on axial and coronal T2-weighted sequence. Note the calcification in the postero-inferior part of the right-sided adrenal mass. Liver lesions have the same characteristic as adrenal masses. C, D) Adrenal lesions (Arrows) have thickened walls with contrast enhancement. Note that multiple cystic lesions in the liver do not show contrast enhancement.
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Lesions in the liver also showed no contrast enhancement on MRI (Fig.1).
Figure 2: Histology specimen of the cystic adrenal gland neuroblastoma. Tumor cells (arrow), normal cells of the adrenal gland (thick arrow) and fibrous pseudo capsule (arrow head)
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The pa-thology specimen revealed stroma poor, poorly dif-ferentiated cystic NB with 10 fold N-myc amplifica-tion, which is favoring bad prognosis according to Turkish pediatric oncology group (TPOG) [1] (Fig.2).