Hosting 723 files, 2931 images, and 4 contributors.

Random Case

Jejunal Atresia
Joseph Junewick, MD FACR
over 8 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

4 year old male with elevated estrogen levels and gynecomastia.

Case Detail

Anatomy: Gastrointestinal
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Malignant
Created: over 9 years ago
Updated: over 8 years ago
Tags: PEDS
Modality/Study Types: CT US
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Clinical Notes

Immunoperoxidase positivity for inhibin, CD10, calretin, estrogen receptors and progesterone receptors.

Reveal Findings

US – Hyperemic solid and cystic left upper quandrant mass.

CT – Well-circumscribed mass arising from the tail of the pancreas.

Reveal Discussion

Granulosa/theca cell tumors generally involve the gonads. These tumors are large at the time of diagnosis and usually solid but occasionally contain cystic components. Most granulosa/theca cell tumors produce estrogen, resulting in precocious development in females and gynecomastia in males.

Reveal Diagnosis

Highly primitive malignant neoplasm of the pancreas with features of juvenile granulosa cell tumor.

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare