Neuroblastoma (peds): Difference between revisions
m (Rossdonaldson1 moved page Neuroblastoma (Peds) to Neuroblastoma (peds)) |
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**Large, painless abdominal mass | **Large, painless abdominal mass | ||
**Compression of bowel/bladder | **Compression of bowel/bladder | ||
**Horner syndrome | **[[Horner syndrome]] | ||
**Spinal cord compression | **Spinal cord compression | ||
*Opsoclonus-myoclonus | *Opsoclonus-myoclonus | ||
Revision as of 22:23, 9 September 2015
Background
- Arises from primitive ganglion cells of sympathetic nervous system
- Most common neoplasm in 1st yr of life
- May arise anywhere along sympathetic nervous system
- Adrenal gland (40%)
- Abdomen (25%)
- Chest (15%)
Diagnosis
- Depends on location
- Large, painless abdominal mass
- Compression of bowel/bladder
- Horner syndrome
- Spinal cord compression
- Opsoclonus-myoclonus
- Highly a/w neuroblastoma
- Neutropenia/pancytopenia suggests bone marrow involvement
Work-Up
- CXR
Treatment
- Admssion for tumor biopsy
Source
Tintinalli