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  1. Meningomyelocele, teratoma and a glioependymal cyst

    The differential diagnoses in this location include cystic lesions that show mature neuroglial tissue in the wall namely meningomyelocele, teratoma and a glioependymal cyst.
    Publish Year: 2015
    DOI: 10.7860/JCDR/2015/13991.6479
    Publication: J Clin Diagn Res. 2015 Sep; 9(9): ED07-ED08.
    Published: 2015/09
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    Imaging of presacral masses—a multidisciplinary approach. Br J Radiol 2016; : 20150698. Our objective is to describe an approach for retrorectal/presacral mass evaluation on imaging with attention to imaging features, allowing for refinement of the differential diagnosis of these masses.
    Various types of masses may affect the presacral area in children. A presacral mass may be congenital or developmental or may arise from inflammation. The mass may have neural, vascular, lymphatic, or mesenchymal origins and may be primary (as in focal disease) or systemic (as in multifocal disease).
    Because the clinical manifestations of presacral masses are often nonspecific, imaging plays an important role in the detection and differentiation of these masses. Information obtained from imaging is also critical for management, especially for surgical planning.
    The imaging approach to evaluation of these masses is not standardized. However, given the range of pathologies and multiplicity of soft-tissue structures in the presacral lesions, as well as common involvement of the spine and pelvic bones, MRI is the preferred modality.