PMID- 12014872 OWN - NLM STAT- MEDLINE DCOM- 20020712 LR - 20041117 IS - 0009-9260 (Print) IS - 0009-9260 (Linking) VI - 57 IP - 4 DP - 2002 Apr TI - Imaging of peripheral PNET: common and uncommon locations. PG - 272-7 AB - AIM: We present the imaging features of peripheral primitive neuroectodermal tumour (PNET) in eight children, highlighting the unusual locations of this tumour in three children. MATERIALS AND METHODS: At presentation, the tumours were studied with magnetic resonance imaging (MRI; n = 6), computed tomography (CT; n = 7) and ultrasound (US; n = 1). The diagnoses were confirmed histologically (n = 8), immunohistochemically (n = 8), by cytogenetics (n = 3) and electron microscopy (n = 1). Correlation with gross pathology, histology, treatment and outcome were obtained. RESULTS: The tumours were located in the chest wall (n = 2), shoulder, pelvis, small bowel mesentery, adrenal gland, dura mater and skin and subcutaneous tissue of the abdominal wall (n = 1 each). Peripheral PNET arising from the small bowel mesentery, adrenal gland and dura mater have not been previously reported in the English literature. The tumours were mainly large (mean size: 10.6 cm) and infiltrative. All tumours were heterogeneously hyperintense on T2-weighted MRI, heterogeneously iso/hypodense on CT and had variable contrast enhancement. Most tumours were heterogeneously hypointense to muscle on T1-weighted MRI. US showed a hypoechoic mass with a cystic component. CONCLUSION: Peripheral PNET can occur in unusual locations. The clinical and imaging features of peripheral PNET are non-specific, making tissue diagnosis essential. PNET should be included in the differential diagnosis of aggressive soft tissue tumours in children. CI - Copyright 2002 The Royal College of Radiologists. FAU - Khong, P L AU - Khong PL AD - Department of Diagnostic Radiology, The University of Hong Kong, Queen Mary Hospital, Hong Kong. plkhong@hkucc.hku.hk FAU - Chan, G C F AU - Chan GC FAU - Shek, T W H AU - Shek TW FAU - Tam, P K H AU - Tam PK FAU - Chan, F L AU - Chan FL LA - eng PT - Journal Article PL - England TA - Clin Radiol JT - Clinical radiology JID - 1306016 SB - IM MH - Adolescent MH - Adrenal Gland Neoplasms/diagnosis MH - Child MH - Child, Preschool MH - Dura Mater MH - Female MH - Follow-Up Studies MH - Humans MH - Infant MH - Magnetic Resonance Imaging MH - Male MH - Meningeal Neoplasms/diagnosis MH - Mesentery MH - Neuroectodermal Tumors, Primitive/*diagnosis MH - Peritoneal Neoplasms/diagnosis MH - Soft Tissue Neoplasms/*diagnosis MH - Tomography, X-Ray Computed EDAT- 2002/05/17 10:00 MHDA- 2002/07/13 10:01 CRDT- 2002/05/17 10:00 PHST- 2002/05/17 10:00 [pubmed] PHST- 2002/07/13 10:01 [medline] PHST- 2002/05/17 10:00 [entrez] AID - S0009926001908074 [pii] AID - 10.1053/crad.2001.0807 [doi] PST - ppublish SO - Clin Radiol. 2002 Apr;57(4):272-7. doi: 10.1053/crad.2001.0807.