Ectomesenchymoma | Figure 1
CincyKidsRad
Cincinnati Children's Radiology
Ectomesenchymoma
Axial T2-weighted MRI (image 1), contrast-enhanced CT in soft tissue (image 2) and bone windows (image 3), and ultrasound (image 4) show an ectomesenchymoma (arrow) of the mandible with associated bone destruction (arrowhead) and new bone formation. Ectomesenchymomas are rapidly growing tumors that typically occur in children. They are most common within the head and neck, though they can also arise in the abdomen, pelvis, and extremities.
More about this case
ResolvedRare
Why you should join Figure 1
- Share your knowledge with our global community of healthcare professionals
- Get help from experts in your field
- Learn from our library of real-world cases and quizzes
Similar cases
\
AP (image 1) and lateral (image 2) radiograph if the distal femur shows an aggressive bone tumor with periosteal new bone formation (arrows), a Codman triangle (arrow on lateral view), and a permeative appearance of the bone. On the lateral view, there is a large soft tissue mass (arrowhead). This patient was later diagnosed with neuroblastoma as seen on the MIBG scan (image 3). Skeletal uptake (double-sided arrow) is never normal on MIBG scans and is indicative of metastatic disease. Liver metastases are also present as the liver is enlarged and has diffuse uptake of the radiopharmaceutical.
#MSKMonday
\
AP radiograph of the right hip (image 1) shows an expansile lucent surface lesion (arrow) arising from the medial aspect of the proximal femur diaphysis. Axial (image 2) and coronal (image 3) T2 weighted MRI shows the mass (arrow) contains multiple small cystic spaces with fluid-fluid levels consistent with an aneurysmal bone cyst. Aneurysmal bone cysts are benign lesions. They typically occur in children and adolescents during the second decade of life. Patient's present with pain, swelling, or a palpable mass.
\
Coronal CT (Image 1), coronal SPECT/CT from Tc-99m MDP bone scan (Image 2), and planar images from Tc-99m MDP bone scan reveal an osteoid osteoma (arrow) in the left femur. This benign bone tumor is recognized by the small lucent nidus and not the pronounced bone formation around it. Commonly located in the femur, these lesions can also appear in the tibia and vertebral bodies. Patients typically experience night-time pain that responds to nonsteroidal anti-inflammatory drugs. Treatment options for osteoid osteoma include ablation or surgical resection.
\
Coronal CT (image 1), T2 weighted MRI (image 2), and T1-weighted postcontrast MRI (image 3) show a large osteosarcoma (arrow) arising from the left periacetabular portion of the pelvis. Osteosarcoma is the most common primary bone malignancy of childhood. It most commonly occurs in the long bones about the knee. Tumor occurring in flat bones like the pelvis is less common. Radiograph performed after therapy (image 4) shows expansion of the bone (arrow) and sclerosis.