Association between congenital cardiovascular malformations and neuroblastoma

We explored the association between neuroblastoma and congenital cardiovascular malformations (CCM), previously described in case reports. Echocardiogram and chart reviews of a series of 158 patients with neuroblastoma and a control group of 192 children with leukemia were performed. The proportion...

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Veröffentlicht in:The Journal of pediatrics 2004-04, Vol.144 (4), p.444-448
Hauptverfasser: George, Rani E., Lipshultz, Steven E., Lipsitz, Stuart R., Colan, Steven D., Diller, Lisa
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container_end_page 448
container_issue 4
container_start_page 444
container_title The Journal of pediatrics
container_volume 144
creator George, Rani E.
Lipshultz, Steven E.
Lipsitz, Stuart R.
Colan, Steven D.
Diller, Lisa
description We explored the association between neuroblastoma and congenital cardiovascular malformations (CCM), previously described in case reports. Echocardiogram and chart reviews of a series of 158 patients with neuroblastoma and a control group of 192 children with leukemia were performed. The proportion of patients with CCM in each group was compared. Fourteen of the 70 (20%) patients with neuroblastoma and echocardiography had CCM, compared with 7 of the 192 (3.6%) patients with leukemia with echocardiograms ( P = .0001). If all of the patients with neuroblastoma without echocardiograms (n = 88) are considered to have normal cardiac anatomy, this difference remains significant (14 of 158 patients with neuroblastoma have CCM detected [8.9%] versus 7 of 192 patients with leukemia [3.6%]; P = .045). Neural crest–derived CCM were more common in patients with neuroblastoma, detected in 5 of 70 patients with neuroblastoma versus 2 of 192 patients with leukemia ( P = .016). Congenital cardiovascular malformations in patients with neuroblastoma were associated with a cancer diagnosis at age less than 1 year and a lower neuroblastoma stage, but there was no association with tumor MYCN amplification. Neuroblastoma and CCM may be associated. We recommend echocardiography for CCM screening in patients with newly diagnosed neuroblastoma.
doi_str_mv 10.1016/j.jpeds.2003.12.032
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Echocardiogram and chart reviews of a series of 158 patients with neuroblastoma and a control group of 192 children with leukemia were performed. The proportion of patients with CCM in each group was compared. Fourteen of the 70 (20%) patients with neuroblastoma and echocardiography had CCM, compared with 7 of the 192 (3.6%) patients with leukemia with echocardiograms ( P = .0001). If all of the patients with neuroblastoma without echocardiograms (n = 88) are considered to have normal cardiac anatomy, this difference remains significant (14 of 158 patients with neuroblastoma have CCM detected [8.9%] versus 7 of 192 patients with leukemia [3.6%]; P = .045). Neural crest–derived CCM were more common in patients with neuroblastoma, detected in 5 of 70 patients with neuroblastoma versus 2 of 192 patients with leukemia ( P = .016). Congenital cardiovascular malformations in patients with neuroblastoma were associated with a cancer diagnosis at age less than 1 year and a lower neuroblastoma stage, but there was no association with tumor MYCN amplification. Neuroblastoma and CCM may be associated. 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Echocardiogram and chart reviews of a series of 158 patients with neuroblastoma and a control group of 192 children with leukemia were performed. The proportion of patients with CCM in each group was compared. Fourteen of the 70 (20%) patients with neuroblastoma and echocardiography had CCM, compared with 7 of the 192 (3.6%) patients with leukemia with echocardiograms ( P = .0001). If all of the patients with neuroblastoma without echocardiograms (n = 88) are considered to have normal cardiac anatomy, this difference remains significant (14 of 158 patients with neuroblastoma have CCM detected [8.9%] versus 7 of 192 patients with leukemia [3.6%]; P = .045). Neural crest–derived CCM were more common in patients with neuroblastoma, detected in 5 of 70 patients with neuroblastoma versus 2 of 192 patients with leukemia ( P = .016). Congenital cardiovascular malformations in patients with neuroblastoma were associated with a cancer diagnosis at age less than 1 year and a lower neuroblastoma stage, but there was no association with tumor MYCN amplification. Neuroblastoma and CCM may be associated. 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subjects Acute lymphoblastic leukemia
Adolescent
Age Distribution
ALL
Biological and medical sciences
Case-Control Studies
CCM
Child
Child, Preschool
Congenital cardiovascular malformations
Echocardiography
Female
Heart Defects, Congenital - complications
Heart Defects, Congenital - epidemiology
Humans
Infant
Infant, Newborn
Medical sciences
Neuroblastoma
Neuroblastoma - complications
Neuroblastoma - epidemiology
Neuroblastoma - pathology
Neurology
Precursor Cell Lymphoblastic Leukemia-Lymphoma - complications
Precursor Cell Lymphoblastic Leukemia-Lymphoma - epidemiology
Pregnancy
Prevalence
Tumors of the nervous system. Phacomatoses
United States - epidemiology
title Association between congenital cardiovascular malformations and neuroblastoma
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