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Neonatal neoplasms.

E C Halperin1

  • 1Department of Radiation Oncology, Duke University Medical Center, Durham, NC, USA. halperin@radonc.duke.edu

International Journal of Radiation Oncology, Biology, Physics
|April 12, 2000
PubMed
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This study describes neonatal neoplasms, finding teratoma/germ cell tumors, neuroblastomas, and retinoblastomas most common. These rare childhood cancers can be linked to congenital anomalies, requiring careful treatment considerations.

Area of Science:

  • Pediatric Oncology
  • Neonatal Pathology
  • Cancer Epidemiology

Background:

  • Neonatal neoplasms are rare but present unique diagnostic and therapeutic challenges.
  • Understanding the spectrum of these tumors is crucial for improving outcomes.

Purpose of the Study:

  • To characterize neoplasms diagnosed in neonates (<= 28 days old).
  • To detail their treatments, associated congenital anomalies, and long-term consequences.

Main Methods:

  • Retrospective review of autopsy records, tumor registry, and medical records at Duke University Medical Center (1930-1998).
  • Identification and analysis of 23 neonates with diagnosed neoplasms.

Main Results:

  • Most common diagnoses: teratoma/germ cell tumor (35%), neuroblastoma (22%), and retinoblastoma (17%).

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  • Neoplasms were associated with congenital anomalies (e.g., imperforate anus, limb absence).
  • Long-term survivors were observed, but treatment complications (e.g., anesthesia-related sepsis, radiation effects) occurred.
  • Conclusions:

    • Teratoma/germ cell tumors, neuroblastoma, and retinoblastoma are the most frequent neonatal neoplasms.
    • Congenital anomalies frequently co-occur with neonatal tumors.
    • Radiation therapy, while infrequent, requires careful consideration due to potential long-term effects in this vulnerable population.