Can neuroblastoma be cured?

Written by Chen Yu Fei
Neurosurgery
Updated on September 10, 2024
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Neuroblastoma is a malignant tumor that often grows rapidly. In the early stages of the disease, it can easily invade surrounding tissues and nerves, making it very difficult to completely remove the tumor through surgery. In most cases, even after surgical treatment, there is a high tendency for recurrence in children, making it difficult to achieve a clinical cure. For most patients with neuroblastoma, early post-surgical treatment involving high doses of radiotherapy and chemotherapy can effectively reduce the likelihood of tumor recurrence and appropriately prolong the patient’s lifespan. This helps in extending the lifespan and improving the quality of life to some extent, but generally, the final prognosis remains poor.

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Written by Chen Yu Fei
Neurosurgery
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Is neuroblastoma serious?

Neuroblastoma is relatively serious and is classified as a highly malignant tumor, one of the epithelial cell tumors. The disease often leads to severe intracranial pressure increases, manifesting as intense headaches, dizziness, nausea, vomiting, and even possible optic disc edema, vision loss, and visual field defects. The occurrence of neuroblastoma often indicates a poor prognosis for patients, with a short disease duration and reduced survival time. The five-year survival rate is decreased. Treatment primarily involves surgical intervention to completely remove the neuroblastoma, followed by postoperative radiotherapy, chemotherapy, and other related treatments.

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Written by Chen Yu Fei
Neurosurgery
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Late-stage symptoms of neuroblastoma

For patients with neuroblastoma, they often experience significant symptoms such as headaches, dizziness, nausea, and vomiting. The intracranial pressure continuously rises, leading to noticeable optic atrophy, vision loss, and visual field defects. When the tumor volume further increases, it may also compress the surrounding tissues, causing apparent cranial nerve dysfunction. Moreover, in the late stages of the disease, the tumor can spread to other parts of the body via the bloodstream, forming metastases. Additionally, it is likely to disseminate through the cerebrospinal fluid.

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Written by Chen Yu Fei
Neurosurgery
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What should be avoided in the diet for neuroblastoma?

Patients with neuroblastoma should be cautious with their diet and avoid foods that are overly greasy or spicy. It's also advisable to limit or avoid carbohydrate-rich or fried foods and those high in cholesterol. If the patient has allergies, they should avoid seafood products, which contain abundant animal proteins and can trigger allergic reactions, potentially leading to allergic dermatitis or allergic asthma. Additionally, some fruits, such as durian or mango, may also induce allergic reactions, so it is best to consume them sparingly or not at all.

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Written by Chen Yu Fei
Neurosurgery
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Early symptoms of neuroblastoma

For patients with neuroblastoma, the early stages of the disease often manifest as mild headaches, dizziness, nausea, and vomiting. The symptoms are relatively mild and can be significantly alleviated by taking oral pain relief medications. Therefore, the condition often does not receive adequate attention, leading to missed diagnoses. As the tumor size increases, the original symptoms such as headaches and dizziness will significantly worsen. Some patients may even experience optic nerve atrophy, papilledema, reduced visual fields, and vision deficits. When such conditions occur, patients often undergo cranial CT or MRI scans to confirm the presence of neuroblastoma.

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Written by Chen Yu Fei
Neurosurgery
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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.