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Bilateral adrenal neuroblastoma in the infant: Is it an image-defined risk factor?
Silvia Marino1, Milena La Spina1, Maria Grazia Scuderi2
1a Unit of Pediatric Hematology and Oncology , Department of Clinical and Experimental Medicine , Hospital Policlinico, University of Catania , Catania , Italy.
Abstract:
The treatment of neuroblastoma is based on the International Neuroblastoma Risk Group stratification considering life-threatening symptoms, image-defined risk factors (IDRFs), presence and site of metastases, biology, and histopathology. The authors present an infant with bilateral nonmetastatic adrenal neuroblastoma with favorable biology. Both tumors were resectable and without IDRFs, but bilateral resection was considered mutilating, so it was decided to operate one side only. The authors suggest considering bilaterality among IDRFs.
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