Neuroblastoma: Difference between revisions

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Laboratory findings:
Laboratory findings:
*Increased urine homovanillic acid.
*Increased urine homovanillic acid.
Imaging:
*mIBG uptake (>90% neuroblastomas)


Predictors of a poor prognosis:<ref name=Ref_PCPBoD8_254>{{Ref PCPBoD8|254}}</ref>
Predictors of a poor prognosis:<ref name=Ref_PCPBoD8_254>{{Ref PCPBoD8|254}}</ref>
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*Near ploidy.
*Near ploidy.
*N-MYC amplification.
*N-MYC amplification.
*1p deletion /imbalance
*Lymph node spread.
*Lymph node spread.
*Distant spread.
*Distant spread.
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*Molecular abnormalities.
*Molecular abnormalities.


===IHC===
International Neuroblastoma Risk Group Staging System (INRGSS)
* L1: Locoregional tumor without Image-Definging Risk factors (IDRFs)
* L2: Locoregional tumor with one or more IDRFs
* M: Distant metastatic disease (except Ms)
* Ms: INRG Stage L1 or L2 tumor with metastatic disease confined to skin and/or liver and/or bone marrow and age below 18 months.
 
==IHC==
*PGP 9.5 +ve.<ref>{{Cite journal  | last1 = Ootsuka | first1 = S. | last2 = Asami | first2 = S. | last3 = Sasaki | first3 = T. | last4 = Yoshida | first4 = Y. | last5 = Nemoto | first5 = N. | last6 = Shichino | first6 = H. | last7 = Chin | first7 = M. | last8 = Mugishima | first8 = H. | last9 = Suzuki | first9 = T. | title = Useful markers for detecting minimal residual disease in cases of neuroblastoma. | journal = Biol Pharm Bull | volume = 31 | issue = 6 | pages = 1071-4 | month = Jun | year = 2008 | doi =  | PMID = 18520032 }}</ref>
*PGP 9.5 +ve.<ref>{{Cite journal  | last1 = Ootsuka | first1 = S. | last2 = Asami | first2 = S. | last3 = Sasaki | first3 = T. | last4 = Yoshida | first4 = Y. | last5 = Nemoto | first5 = N. | last6 = Shichino | first6 = H. | last7 = Chin | first7 = M. | last8 = Mugishima | first8 = H. | last9 = Suzuki | first9 = T. | title = Useful markers for detecting minimal residual disease in cases of neuroblastoma. | journal = Biol Pharm Bull | volume = 31 | issue = 6 | pages = 1071-4 | month = Jun | year = 2008 | doi =  | PMID = 18520032 }}</ref>
**PGP = protein gene product.
**PGP = protein gene product.