Successful treatment of Neuroblastoma in an adolescent with intra-arterial embolization before surgery

Abstract Introduction Neuroblastoma in the adolescent is characterized by indolent growth and poor outcome. Surgical resection of the tumor is an essential part of the multimodality treatment. Surgical complications depend on the presence of Image Defined Risk Factors (IDRFs). Methods We present an...

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Bibliographic Details
Published in:Journal of pediatric surgery case reports 2017-05, Vol.20 (C), p.4-6
Main Authors: Pio, Luca, MD, Avanzini, Stefano, Gandolfo, Carlo, Martucciello, Giuseppe, Granata, Claudio, Boscarelli, Alessandro, Garaventa, Alberto, Mattioli, Girolamo
Format: Article
Language:English
Subjects:
Adolescent
Embolization
IDRFs
Neuroblastoma
Pediatric surgical oncology
Surgery
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Summary:Abstract Introduction Neuroblastoma in the adolescent is characterized by indolent growth and poor outcome. Surgical resection of the tumor is an essential part of the multimodality treatment. Surgical complications depend on the presence of Image Defined Risk Factors (IDRFs). Methods We present an adolescent with pelvic neuroblastoma and epidural compression. To facilitate tumor resection, the patient underwent preoperative selective embolization. Results After selective embolization a subsequent complete resection etraspinal localisation was performed without complication with complete remission after 2 years. Conclusions Preoperative embolization is a safe and feasible technique that can help pediatric surgical oncologist to reduce complications IDRFs-related.
ISSN:2213-5766
2213-5766
DOI:10.1016/j.epsc.2017.02.015