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小儿中枢神经系统神经母细胞瘤:一例报告。

Pediatric central nervous system (CNS) neuroblastoma: A case report.

作者信息

Sharkey Brandon, Conner Kaitlin Michelle, McGarvey Cade R, Nair Ajay, Dorn Abbigail, Reinard Kevin, Gabel Brandon

机构信息

Department of Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, United States.

Department of Neurosurgery, Promedica Toledo Hospital, Toledo, Ohio, United States.

出版信息

Surg Neurol Int. 2024 May 17;15:162. doi: 10.25259/SNI_794_2023. eCollection 2024.

DOI:10.25259/SNI_794_2023
PMID:38840609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11152550/
Abstract

BACKGROUND

Neuroblastomas are rare tumors activated by the gene commonly found in pediatric patients. Due to the novelty of these tumors, there is no standard diagnostic profile. However, they have been found to express , and synaptophysin, and they can be identified with magnetic resonance imaging (MRI). Treatment with chemotherapy combined with stem cell rescue and craniospinal irradiation can improve non-infant patient outcomes.

CASE DESCRIPTION

We report a case of a 2-year-old patient who was diagnosed with a neuroblastoma through MRI imaging and pathology that confirmed gene activation. The tumor was successfully removed. However, the tumor was not high-grade like most neuroblastomas.

CONCLUSION

The unusual presentation of a low-grade neuroblastoma demonstrates the necessity to conduct further research into the characteristics of these tumors.

摘要

背景

神经母细胞瘤是一种罕见的肿瘤,常见于儿科患者,由该基因激活。由于这些肿瘤的新颖性,尚无标准的诊断特征。然而,已发现它们表达 、突触素,并且可以通过磁共振成像(MRI)进行识别。化疗联合干细胞救援和颅脊髓照射治疗可改善非婴儿患者的预后。

病例描述

我们报告一例2岁患者,通过MRI成像和病理检查确诊为神经母细胞瘤,证实了该基因激活。肿瘤被成功切除。然而,该肿瘤不像大多数神经母细胞瘤那样为高级别。

结论

低级别神经母细胞瘤的不寻常表现表明有必要对这些肿瘤的特征进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/9578843d2af3/SNI-15-162-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/55c5721bc305/SNI-15-162-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/7a821a78d7b3/SNI-15-162-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/913fbbdc3438/SNI-15-162-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/7545c9d3e95c/SNI-15-162-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/9578843d2af3/SNI-15-162-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/55c5721bc305/SNI-15-162-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/7a821a78d7b3/SNI-15-162-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/913fbbdc3438/SNI-15-162-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/7545c9d3e95c/SNI-15-162-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba8d/11152550/9578843d2af3/SNI-15-162-g005.jpg

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本文引用的文献

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Eur J Med Genet. 2023 Jan;66(1):104660. doi: 10.1016/j.ejmg.2022.104660. Epub 2022 Nov 7.
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Imaging Characteristics of CNS Neuroblastoma-: A Retrospective and Multi-Institutional Description of 25 Cases.中枢神经系统神经母细胞瘤的影像学特征——25 例回顾性多中心描述。
AJNR Am J Neuroradiol. 2022 Oct;43(10):1476-1480. doi: 10.3174/ajnr.A7644. Epub 2022 Sep 22.
3
Molecular classification and outcome of children with rare CNS embryonal tumors: results from St. Jude Children's Research Hospital including the multi-center SJYC07 and SJMB03 clinical trials.
儿童罕见中枢神经系统胚胎瘤的分子分类和预后:来自圣裘德儿童研究医院的结果,包括多中心 SJYC07 和 SJMB03 临床试验。
Acta Neuropathol. 2022 Oct;144(4):733-746. doi: 10.1007/s00401-022-02484-7. Epub 2022 Aug 18.
4
Evaluation and Diagnosis of Central Nervous System Embryonal Tumors (Non-Medulloblastoma).中枢神经系统胚胎性肿瘤(非髓母细胞瘤)的评估和诊断。
Pediatr Dev Pathol. 2022 Jan-Feb;25(1):34-45. doi: 10.1177/10935266211018554.
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Childs Nerv Syst. 2021 Aug;37(8):2451-2463. doi: 10.1007/s00381-021-05207-7. Epub 2021 May 18.
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