Neuroblastoma

Overview

Neuroblastoma is a type of cancer that develops from immature nerve cells (neural crest cells). It is the most common cancer in infants and young children, usually diagnosed around the age of 17 months. It mostly occurs in the adrenal glands (above the kidneys) but can also be found in the neck, chest, abdomen, pelvis, or spine.

Common signs and symptoms

  • Lumps or swelling in the belly, neck, or chest
  • Bone pain, limping, or weakness
  • Uncontrolled eye movement
  • Dark circles around the eyes
  • Changes in urination
  • Fever, fatigue, and weight Loss
  • Diarrhea, high blood pressure, or rapid heartbeat

Diagnostic tests and procedures

Lab tests

Blood tests and urine tests to detect elevated levels of catecholamine breakdown products (a hallmark of neuroblastoma).

Imaging

MRI or CT and MIBG Scan.

Biopsy

Examining tissue from the tumor under a microscope confirms the diagnosis.

Bone marrow testing

To see if the cancer has spread to the bone marrow.

Treatment options

Surgery

To remove the tumor, especially if localized.

Chemotherapy

Used for high-risk cases to shrink tumors before surgery or to treat metastatic disease.

Radiation therapy

Target remaining cancer cells post-surgery or for palliative care.

Bone marrow transplant (BMT)

May be considered for high-risk patients after intensive chemotherapy.

Immunotherapy

Drugs like dinutuximab help the immune system attack cancer.

Prognosis

The prognosis for patients with neuroblastoma varies widely based on several factors, including age at diagnosis, stage of the disease, tumor characteristics, and response to treatment. Overall survival rates have improved significantly over the years due to advancements in treatment options. Regular follow-up care is essential to monitor for potential complications or recurrence after treatment.

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