How to check for neuroblastoma?

Written by Chen Yu Fei
Neurosurgery
Updated on September 09, 2024
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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.

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Written by Chen Yu Fei
Neurosurgery
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Age of onset of neuroblastoma

Neuroblastoma, typically arises from primitive neural crest cells, is more commonly found in the sympathetic ganglia and adrenal medulla. There is no specific age for the onset of neuroblastoma, but research indicates that it is more commonly diagnosed in children. The exact causative factors of neuroblastoma are not yet fully understood, but it is widely believed to involve congenital genetic factors, including acquired genetic mutations. Clinically, the presentation largely depends on the location of the tumor, the age at diagnosis, and the degree of malignancy of the tumor. In most cases, the tumor originates in the abdominal cavity, with a higher occurrence in the adrenal glands in children.

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Written by Gao Yi Shen
Neurosurgery
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Is calcification of neuroblastoma good?

In clinical practice, although calcification is a relatively favorable phenomenon, the overall condition of neuroblastoma does not change significantly because of it. Therefore, it is still not a good sign. For neuroblastoma, whether calcification occurs or not, it remains a form of tumor. Only through early surgical treatment can the problem be fundamentally resolved, otherwise, there is a tendency for recurrence and metastasis to occur later on. Moreover, it is important to note that regardless of whether the tumor calcifies, its nature does not change. Only fundamental treatment can bring better hope, so calcification does not lead to very good outcomes.

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Written by Chen Yu Fei
Neurosurgery
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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.

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Written by Chen Yu Fei
Neurosurgery
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Neuroblastoma treatment

Neuroblastoma is relatively considered a malignant tumor, and its growth rate is quite rapid. It often adheres to surrounding tissues in the early stages, which makes it very difficult to completely remove surgically. However, even so, it is still advisable to opt for surgical treatment once neuroblastoma is detected. The tumor should be completely removed surgically, and a small amount of tumor tissue should be retained for pathological examination after removal. Based on the results of the pathological examination, it will be determined whether additional treatments such as radiotherapy or chemotherapy are needed. Furthermore, since some neuroblastomas are sensitive to radiotherapy, it is recommended to promptly take the patient to a local hospital for treatment after surgery.

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Written by Chen Yu Fei
Neurosurgery
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How to diagnose neuroblastoma?

For neuroblastoma, the final diagnosis requires the patient to undergo surgical treatment. During the surgery, the neuroblastoma is completely excised, and a small amount of tumor tissue is retained for pathological sectioning. The diagnosis is determined based on the results of the pathological examination, which assesses the specific cells of the neuroblastoma, whether it is benign or malignant, and its level of malignancy. This also determines how the patient will receive subsequent treatments like radiotherapy and chemotherapy. In addition to relying on pathological examinations, most neuroblastoma patients can also undergo more thorough examinations. In most cases, elevated levels of catecholamines and their metabolites can be found in the blood or urine of neuroblastoma patients, significantly higher than that of the normal population.