Bujanover Y, Hareel A, Burstein Y
Department of Pediatrics, Rokach Hospital, Tel Aviv Medical Center, Sackler Faculty of Medicine, Israel.
J Pediatr Gastroenterol Nutr. 1990 Nov;11(4):545-8. doi: 10.1097/00005176-199011000-00017.
This article presents the case of an infant who on routine physical examination at the age of 5 months was found to have hepatomegaly. The initial investigation revealed borderline liver function tests, and ultrasonography showed multiple space-occupying lesions. Further workup using different imaging techniques, urinary vanillylmandelic acid, serum catecholamines, and liver biopsy led to the diagnosis of stage IV-S neuroblastoma. No primary site outside of the liver could be demonstrated. The tumor regressed spontaneously.