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Neuroblastoma
How to check for neuroblastoma?
For the examination of neuroblastoma, we generally recommend a neurological examination to help determine whether there are any clear positive signs, as well as to inquire about medical history and family history to judge if there are any cases of neuroblastoma among family members. Additionally, detailed laboratory tests, routine blood tests, routine urine tests, and biochemical tests, including tumor-related diagnostics, can help in making assessments. Of course, the most accurate and crucial examinations are CT or MRI scans of the head. If necessary, an enhanced MRI scan of the head can be conducted to further evaluate the location, nature, severity of the tumor, and its relationship with the surrounding neural and vascular tissues, which helps provide a basis for further surgical treatment.
Neuroblastoma examination items
For neuroblastoma, the examination items mainly include the patient's vital signs and physical examination, including detailed examinations to observe if there are any obvious pathological signs. Additionally, it is necessary to inquire about the patient’s medical history, especially past medical history and family history. Main examination items include laboratory tests, routine blood and urine tests, biochemistry, and tumor-related tests. Furthermore, examinations also involve using a cranial CT scan, MRI of the head, and if necessary, an enhanced MRI scan of the head, to further determine the presence of neuroblastoma, as well as its location, quantity, and the relationship between the surrounding tissues, blood vessels, and nerves.
Can neuroblastoma be treated?
Neuroblastoma is the most common tumor in childhood, and it is also the most common in infants and toddlers. Typically, neuroblastoma is a type of neuroendocrine tumor, clinically found often in the adrenal glands or in nervous tissues such as the neck, chest, and abdomen. Currently, neuroblastoma can be effectively classified according to its level of risk into low-risk, intermediate-risk, or high-risk groups. For patients in the low-risk group, surgical treatment can achieve satisfactory results; for patients in the intermediate-risk or high-risk groups, treatment often involves a combination of methods, yet still may not achieve satisfactory results.
How is neuroblastoma diagnosed?
For patients with neuroblastoma, diagnosis is primarily through the symptoms, signs, detailed physical examinations, medical history inquiries, and most importantly, radiological data, which includes CT scans or MRI of the head. Definitive diagnosis requires surgical removal of the tumor. A small amount of tumor tissue is retained after excision and used for pathological examination to confirm the diagnosis. Neuroblastoma is categorized as an epithelial-like malignant tumor, indicative of a high degree of malignancy. In most cases, early in the disease, the tumor adheres to surrounding tissues, which greatly complicates complete surgical removal, and most patients have a poor prognosis.
Symptoms of Neuroblastoma
Typical symptoms of neuroblastoma include anemia and fatigue, excitement, no weight gain or weight loss, or irregular fever. The initial symptoms in the course of a short disease are not typical. Early diagnosis is difficult. Nonspecific symptoms include fatigue, loss of appetite, fever, joint pain. Those occurring within the skull display a bit of central nervous system cursing symptoms and symptoms of intracranial hypertension. Main manifestation. Occurrence outside the skull depends on the location of the tumor and the metastatic sites. Involvement of the thoracic cavity can cause chest and back pain and difficulty breathing, involvement of the abdominal cavity is characterized by abdominal distension, constipation, dysentery, and involvement of the spinal canal manifests as reduced strength in the trunk and limbs, and motor and sensory disturbances.
How does neuroblastoma heal itself?
Neuroblastoma cannot completely heal by itself. Once neuroblastoma is detected, patients should be promptly taken to local hospitals for treatment, be hospitalized, and undergo skull CT or MRI scans. If necessary, enhanced MRI scans can be conducted to clarify the current location of the tumor and its relationship with surrounding tissues, and to determine the surgical plan. The tumor should be completely removed through surgery. After the surgery, a small amount of tumor tissue should be kept for pathological slides to assess the need for radiotherapy, chemotherapy, or other related treatments based on the results of the pathological examination. For some elderly and frail patients who cannot tolerate surgery, Gamma Knife treatment can also be considered.
Neuroblastoma is what disease
Neuroblastoma is a highly malignant epithelial neurocyte tissue tumor, which is relatively aggressive. Often in the early stages of the disease, the tumor tissue adheres to surrounding brain tissue, nerves, and blood vessels, making it impossible to completely remove it surgically. The residual tumor cells quickly recur over time. As a result, most neuroblastoma patients have a poor prognosis and short survival time, even with effective surgical treatment, including postoperative radiotherapy and chemotherapy. Therefore, it is recommended that those diagnosed with neuroblastoma undergo early further examinations and treatments.
Early symptoms of neuroblastoma
For patients with neuroblastoma, in the early stages, due to the small size of the tumor, there generally lacks clear clinical signs or symptoms. Most patients experience mild headaches, dizziness, nausea, and vomiting, accompanied by a certain degree of vertigo. However, in most cases, these symptoms can be tolerated. Patients often have episodic attacks, with a persistent worsening condition. Later, as the tumor grows further, it may lead to an exacerbation of existing symptoms such as headaches, dizziness, nausea, and vomiting. Some patients may also experience abnormalities in the sensation of one side of the body, manifested as numbness, pain, and a tingling sensation.