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
Hauptverfasser: Albregts, Anthony E., Cohen, Mervyn D., Galliani, Carlos A.
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container_issue 7
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container_title Journal of pediatric surgery
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creator Albregts, Anthony E.
Cohen, Mervyn D.
Galliani, Carlos A.
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><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. 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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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