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Neuroblastoma, Pediatric

Lars M. Wagner, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Neuroblastoma is a “small round blue cell tumor” of childhood which arises from developing neural crest cells in the sympathetic nervous system.

  • The clinical behavior of neuroblastoma...

DIAGNOSIS

HISTORY

  • Patients with low-risk disease often appear well, and the tumor is discovered incidentally on exam or imaging studies for other reasons.

  • High-risk patients often are ill-appearing with...

TREATMENT

  • Treatment is based on risk stratification using age 18 months, stage, DNA ploidy, favorable versus unfavorable histology, and genomic features (presence or absence of segmental copy number a...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Referral to a pediatric oncologist is essential before any diagnostic procedures or therapeutic interventions. 

Patient Monitoring

  • On therapy

    • Laboratory monitoring f...

ADDITIONAL READING

  • Bagatell R, Cohn SL. Genetic discoveries and treatment advances in neuroblastoma. Curr Opin Pediatr.  2016;28(1):19–25. [View Abstract on OvidInsights]

  • Maris JM. Recent advances...

CODES

ICD9

  • 194.0 Malignant neoplasm of adrenal gland

  • 158.0 Malignant neoplasm of retroperitoneum

  • 164.9 Malignant neoplasm of mediastinum, part unspecified

  • 195.2 Malignant neoplasm of abdomen

  • 195.1 Malignan...

FAQ

  • Q: Are siblings of children with neuroblastoma at increased risk for neuroblastoma compared with the general population?

  • A: No, except in rare families with a known history of neuroblastoma (<1%...

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