Neuroblastoma invading the kidney
Renal invasion by neuroblastoma is probably more common than is generally recognized. In this study, the incidence of renal parenchymal tumor invasion was 20.4% (10 patients) among 49 cases of abdominal neuroblastoma. Generally, the renoinfiltrative neuroblastomas were extensive and had unfavorable...
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Veröffentlicht in: | Journal of pediatric surgery 1994-07, Vol.29 (7), p.930-933 |
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description | Renal invasion by neuroblastoma is probably more common than is generally recognized. In this study, the incidence of renal parenchymal tumor invasion was 20.4% (10 patients) among 49 cases of abdominal neuroblastoma. Generally, the renoinfiltrative neuroblastomas were extensive and had unfavorable histological features as well as lymph node involvement; they were either stage III or IV. Tumor invasion occurred by direct penetration through the renal capsule and/or lymphatic perivascular spread. Imaging studies had 100% sensitivity and 94.9% specificity for detecting renal invasion of neuroblastoma. Surgery/pathology was the standard of reference. Two instances of misdiagnoses of renal invasion were attributed to inadequate resolution of older computed tomography films, partial volume effects, and renal distortion by tumor compression. |
doi_str_mv | 10.1016/0022-3468(94)90018-3 |
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In this study, the incidence of renal parenchymal tumor invasion was 20.4% (10 patients) among 49 cases of abdominal neuroblastoma. Generally, the renoinfiltrative neuroblastomas were extensive and had unfavorable histological features as well as lymph node involvement; they were either stage III or IV. Tumor invasion occurred by direct penetration through the renal capsule and/or lymphatic perivascular spread. Imaging studies had 100% sensitivity and 94.9% specificity for detecting renal invasion of neuroblastoma. Surgery/pathology was the standard of reference. Two instances of misdiagnoses of renal invasion were attributed to inadequate resolution of older computed tomography films, partial volume effects, and renal distortion by tumor compression.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/0022-3468(94)90018-3</identifier><identifier>PMID: 7931973</identifier><identifier>CODEN: JPDSA3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Abdominal Neoplasms - diagnosis ; Abdominal Neoplasms - pathology ; Biological and medical sciences ; Child ; Child, Preschool ; Diagnostic Imaging ; Female ; Humans ; Incidence ; Infant ; Kidney - pathology ; Kidney Neoplasms - diagnosis ; Kidney Neoplasms - epidemiology ; Kidney Neoplasms - pathology ; Male ; Medical sciences ; Neoplasm Invasiveness ; Neuroblastoma - diagnosis ; Neuroblastoma - epidemiology ; Neuroblastoma - pathology ; Neurology ; Sensitivity and Specificity ; Tumors of the nervous system. 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In this study, the incidence of renal parenchymal tumor invasion was 20.4% (10 patients) among 49 cases of abdominal neuroblastoma. Generally, the renoinfiltrative neuroblastomas were extensive and had unfavorable histological features as well as lymph node involvement; they were either stage III or IV. Tumor invasion occurred by direct penetration through the renal capsule and/or lymphatic perivascular spread. Imaging studies had 100% sensitivity and 94.9% specificity for detecting renal invasion of neuroblastoma. Surgery/pathology was the standard of reference. Two instances of misdiagnoses of renal invasion were attributed to inadequate resolution of older computed tomography films, partial volume effects, and renal distortion by tumor compression.</description><subject>Abdominal Neoplasms - diagnosis</subject><subject>Abdominal Neoplasms - pathology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnostic Imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Kidney - pathology</subject><subject>Kidney Neoplasms - diagnosis</subject><subject>Kidney Neoplasms - epidemiology</subject><subject>Kidney Neoplasms - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neoplasm Invasiveness</subject><subject>Neuroblastoma - diagnosis</subject><subject>Neuroblastoma - epidemiology</subject><subject>Neuroblastoma - pathology</subject><subject>Neurology</subject><subject>Sensitivity and Specificity</subject><subject>Tumors of the nervous system. Phacomatoses</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1LxDAQxYMo67r6HyisIKKHaiZJm_YiyOIXLHrRc0iTqUb7oUm7sP-9rVv26Glg5vce8x4hx0CvgEJyTSljERdJepGJy4xSSCO-Q6YQc4hiyuUumW6RfXIQwiel_ZrChExkxiGTfEpOn7HzTV7q0DaVnrt6pa2r3-ftB86_nK1xfUj2Cl0GPBrnjLzd370uHqPly8PT4nYZGZ4mbcSAxYmhImG50JjnuU15Kk0hANLM2ARjKSwVjGWpgEIyO_CcGRlrYazI-Yycb3y_ffPTYWhV5YLBstQ1Nl1QMpEJhVj2oNiAxjcheCzUt3eV9msFVA3NqCG2GmKrTKi_ZhTvZSejf5dXaLeisYr-fjbedTC6LLyujQtbTIDkFAbsZoNh38XKoVfBOKwNWufRtMo27v8_fgEme3yJ</recordid><startdate>19940701</startdate><enddate>19940701</enddate><creator>Albregts, Anthony E.</creator><creator>Cohen, Mervyn D.</creator><creator>Galliani, Carlos A.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940701</creationdate><title>Neuroblastoma invading the kidney</title><author>Albregts, Anthony E. ; Cohen, Mervyn D. ; Galliani, Carlos A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-21256c0462b4aebbbd8387cf41189cd6e574d04229841f72d125632c75a4cd4b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Abdominal Neoplasms - diagnosis</topic><topic>Abdominal Neoplasms - pathology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diagnostic Imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Kidney - pathology</topic><topic>Kidney Neoplasms - diagnosis</topic><topic>Kidney Neoplasms - epidemiology</topic><topic>Kidney Neoplasms - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neoplasm Invasiveness</topic><topic>Neuroblastoma - diagnosis</topic><topic>Neuroblastoma - epidemiology</topic><topic>Neuroblastoma - pathology</topic><topic>Neurology</topic><topic>Sensitivity and Specificity</topic><topic>Tumors of the nervous system. Phacomatoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Albregts, Anthony E.</creatorcontrib><creatorcontrib>Cohen, Mervyn D.</creatorcontrib><creatorcontrib>Galliani, Carlos A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Albregts, Anthony E.</au><au>Cohen, Mervyn D.</au><au>Galliani, Carlos A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuroblastoma invading the kidney</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1994-07-01</date><risdate>1994</risdate><volume>29</volume><issue>7</issue><spage>930</spage><epage>933</epage><pages>930-933</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><coden>JPDSA3</coden><abstract>Renal invasion by neuroblastoma is probably more common than is generally recognized. In this study, the incidence of renal parenchymal tumor invasion was 20.4% (10 patients) among 49 cases of abdominal neuroblastoma. Generally, the renoinfiltrative neuroblastomas were extensive and had unfavorable histological features as well as lymph node involvement; they were either stage III or IV. Tumor invasion occurred by direct penetration through the renal capsule and/or lymphatic perivascular spread. Imaging studies had 100% sensitivity and 94.9% specificity for detecting renal invasion of neuroblastoma. Surgery/pathology was the standard of reference. Two instances of misdiagnoses of renal invasion were attributed to inadequate resolution of older computed tomography films, partial volume effects, and renal distortion by tumor compression.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>7931973</pmid><doi>10.1016/0022-3468(94)90018-3</doi><tpages>4</tpages></addata></record> |
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subjects | Abdominal Neoplasms - diagnosis Abdominal Neoplasms - pathology Biological and medical sciences Child Child, Preschool Diagnostic Imaging Female Humans Incidence Infant Kidney - pathology Kidney Neoplasms - diagnosis Kidney Neoplasms - epidemiology Kidney Neoplasms - pathology Male Medical sciences Neoplasm Invasiveness Neuroblastoma - diagnosis Neuroblastoma - epidemiology Neuroblastoma - pathology Neurology Sensitivity and Specificity Tumors of the nervous system. Phacomatoses |
title | Neuroblastoma invading the kidney |
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