A 15-month old girl presenting with clitoromegaly and a chest mass

A 15-month-old girl was initially referred for endocrine evaluation for clitoromegaly and subsequently found to have an adrenal mass, which tracked along the paravertebral region and was associated with increased vascular markings along the skin. Neurological examination was normal. MR imaging of the chest mass demonstrated a serpiginous lesion along the intercostal margins. Initial differential diagnosis included neuroblastoma, ganglioneuroblastoma, vascular lesion or nerve sheath tumor. Biopsy was consistent with plexiform neurofibroma.
Source: Seminars in Pediatric Neurology - Category: Neurology Authors: Source Type: research