Involvement of the central nervous system in neuroblastomas: A potential direct pathway.

Abstract:

:Although frequently disseminated to other anatomical sites, neuroblastoma (NB) is rarely reported as involving the central nervous system (CNS), which may reflect insufficient research in poorly controlled systemic disease. Here we demonstrate the involvement of the CNS in patients with NB over 18 months of age at diagnosis of extensive systemic disease. Meningeal metastases were observed even in the presence of complete systemic control. Although no improvement in patient's survival was observed, radiotherapy was effective in preventing CNS recurrence after observation of actual or previous dural disease. In conclusion, this study uncovered the uncommon pathologic involvement of the CNS in children with advanced NB and underscores the meningeal surface as a potential pathway for this to occur.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Odone-Filho V,Cristofani LM,Maluf PT,Almeida MTA,Halley N,Vince CSC,de Azambuja AMP,Brumatti M,Lubraico P,da Camara Lopes LHA,Leite KRM,Silva JLF,Plese JPP,Weltman E

doi

10.1016/j.mehy.2019.109479

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

109479

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(19)30903-X

journal_volume

136

pub_type

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