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Neuroblastoma torácico en la adolescencia: Caso clínico

DOI: 10.4067/S0370-41062012000200008

Keywords: neuroblastoma chest, adolescence, ganglion cells, suprarrenal.

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Abstract:

neuroblastoma is predominantly a tumor of early childhood, most cases occur in children under 5 years old. it originates in the adrenal gland and paravertebral ganglion cells (neural crest-derived), being the most common an extracranial solid tumor in children. it is characteristic a spontaneous regression, however in some cases it shows progression and dissemination to other organs. objetive: to show a neuroblastoma in adolescence, with poor response to chemotherapy and radiotherapy, requiring surgery treatment. clinical case: a 16 y.o. female patient, previously asymptomatic, who after a body temperature rise up to 39 ° c, was found to have a tumor in the right hemithorax. biopsy was compatible with neuroblastoma. surgical removal of a large 20 x 19 cm tumor was achieved, the only complication presented 10 days postop was recurrent pneumothorax. conclusion: despite little or no response to standard treatment, surgical resection of this large tumor achieved complete remission for this patient.

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