Central nervous system (CNS) neuroblastoma. A case-based update

Gianpiero Tamburrini, Federico Bianchi, Marco Gessi, Paolo Frassanito, Luca Massimi, Massimo Caldarelli

Risultato della ricerca: Contributo in rivistaArticolo in rivista

6 Citazioni (Scopus)

Abstract

Background: Primary central nervous system (CNS) neuroblastoma is a rare intracranial tumor affecting children mainly in the first years of life. It is usually a supratentorial tumor with a wide spectrum of clinical presentation, seizures, and focal neurological deficits being the most common presenting signs. Case description: A 2-year-old child was admitted to our ward after a generalized seizure. Neurological examination was normal. Radiological studies showed a small DWI hyperintense lesion of the right rectus gyrus. Follow-up brain MRI 8 months later showed a huge growth of the tumor (90 × 80 × 65 mm) with polycyclic and apparently defined margins, cystic components, and diffuse contrast enhancement. Complete tumor removal was performed in two planned surgical steps. Histological diagnosis was CNS neuroblastoma. At a follow-up of 8 months, the child is in good clinical and neurological condition and is completing chemotherapy treatment according to the SIOP PNET 4 protocol. Discussion and conclusion: A thorough review of the literature confirms that primary CNS neuroblastoma has to be considered a distinct entity. The disease related mortality is 12.5%, lower than the one usually reported for other previously described as PNETs tumors. The most relevant factors influencing prognosis are the possibility of obtaining a complete tumor removal and age more than 3 years, which allows to include radiotherapy among treatment options.
Lingua originaleEnglish
pagine (da-a)817-823
Numero di pagine7
RivistaCHILDS NERVOUS SYSTEM
Volume34
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • Infant
  • Neuroblastoma
  • Neurology (clinical)
  • Pediatrics, Perinatology and Child Health
  • Surgery
  • Tumor

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