Patient's question:
Posterior superior mediastinum at the T1-T3 level of the right thoracic cavity shows a soft tissue density shadow measuring approximately 4.1cm2.3cm2.8cm, with relatively uniform density, smooth margins, and a CT value of about 36Hu. It is connected to the spine and posterior chest wall. The right intervertebral foramen at T2-3 is slightly larger, with no apparent destruction of adjacent bone structure. The corresponding area shows non-uniform radioactive nuclide uptake, with SUVmax of 1.8. A small nodule is observed in the subpleural region of the outer basal segment of the right lower lobe, with no abnormal distribution of radioactive nuclides.The thymic region in the mediastinum shows diffuse increased radioactive nuclide uptake, with SUVmax of 3.5. No enlarged lymph nodes are seen in the mediastinum. Multiple lymph nodes of varying sizes are observed in both axillary fossae, with the largest measuring approximately 0.8cm1.0cm. The distribution of radioactive nuclides in the corresponding areas is normal.
Doctor's answer:
We have seen many cases like this in children. Each year, there are over 30 similar surgeries for mediastinal tumors. Most of them are ganglioneuroblastoma, a type of low-grade malignant tumor. Some are neuroblastoma, a malignant tumor. A portion is also ganglioneuroma, a benign tumor. We recommend early surgical treatment to prevent distant metastasis of the tumor and avoid missing the optimal treatment window.