Document Detail

Dumbbell neuroblastoma presenting without spinal cord findings.
MedLine Citation:
PMID:  3794963     Owner:  NLM     Status:  MEDLINE    
Patients with dumbbell neuroblastoma present with a wide variety of spinal cord problems. We recently treated an infant with a large dumbbell neuroblastoma who was neurologically intact. Because a CAT scan showed a retroperitoneal mass to be abutting the right vertebral body at T12-L1, a precautionary myelogram was performed, which revealed extensive intraspinal extension. We report this case to emphasize the need to have a high index of suspicion of spinal cord involvement in light of a normal neurologic examination since, any attempt at removing the extraspinal part, first, could cause serious neurologic sequelae. We also wish to emphasize avoiding radiation therapy when the tumor has been removed grossly to lessen the development of kyphoscoliatic deformity. The infant will be routinely followed with serial VMAs and ultrasound.
J Payne; P Wolfson; B E Northrup
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  21     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1986 Nov 
Date Detail:
Created Date:  1987-02-17     Completed Date:  1987-02-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  995-6     Citation Subset:  IM    
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MeSH Terms
Infant, Newborn
Neuroblastoma / radiography*,  surgery
Retroperitoneal Neoplasms / radiography*,  surgery
Spinal Neoplasms / radiography*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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