How to check for neuroblastoma?

Written by Chen Yu Fei
Neurosurgery
Updated on September 09, 2024
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For the examination of neuroblastoma, we generally recommend a neurological examination to help determine whether there are any clear positive signs, as well as to inquire about medical history and family history to judge if there are any cases of neuroblastoma among family members. Additionally, detailed laboratory tests, routine blood tests, routine urine tests, and biochemical tests, including tumor-related diagnostics, can help in making assessments. Of course, the most accurate and crucial examinations are CT or MRI scans of the head. If necessary, an enhanced MRI scan of the head can be conducted to further evaluate the location, nature, severity of the tumor, and its relationship with the surrounding neural and vascular tissues, which helps provide a basis for further surgical treatment.

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Written by Chen Yu Fei
Neurosurgery
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Can neuroblastoma be cured?

Neuroblastoma is a malignant tumor that often grows rapidly. In the early stages of the disease, it can easily invade surrounding tissues and nerves, making it very difficult to completely remove the tumor through surgery. In most cases, even after surgical treatment, there is a high tendency for recurrence in children, making it difficult to achieve a clinical cure. For most patients with neuroblastoma, early post-surgical treatment involving high doses of radiotherapy and chemotherapy can effectively reduce the likelihood of tumor recurrence and appropriately prolong the patient’s lifespan. This helps in extending the lifespan and improving the quality of life to some extent, but generally, the final prognosis remains poor.

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Written by Chen Yu Fei
Neurosurgery
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Late-stage symptoms of neuroblastoma

For patients with neuroblastoma, they often experience significant symptoms such as headaches, dizziness, nausea, and vomiting. The intracranial pressure continuously rises, leading to noticeable optic atrophy, vision loss, and visual field defects. When the tumor volume further increases, it may also compress the surrounding tissues, causing apparent cranial nerve dysfunction. Moreover, in the late stages of the disease, the tumor can spread to other parts of the body via the bloodstream, forming metastases. Additionally, it is likely to disseminate through the cerebrospinal fluid.

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Neurosurgery
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Causes of Neuroblastoma

Currently, there is no definitive conclusion about the specific causes of neuroblastoma, but most scholars believe that the occurrence of neuroblastoma is the result of congenital genetic factors combined with acquired factors. For patients with neuroblastoma, there is often a family history of genetic diseases showing a familial clustering tendency. In addition, poor living environments and habits, including exposure to radioactive contamination or prolonged exposure to electromagnetic radiation, may also contribute to the development of neuroblastoma.

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Neurosurgery
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How does neuroblastoma heal itself?

Neuroblastoma cannot completely heal by itself. Once neuroblastoma is detected, patients should be promptly taken to local hospitals for treatment, be hospitalized, and undergo skull CT or MRI scans. If necessary, enhanced MRI scans can be conducted to clarify the current location of the tumor and its relationship with surrounding tissues, and to determine the surgical plan. The tumor should be completely removed through surgery. After the surgery, a small amount of tumor tissue should be kept for pathological slides to assess the need for radiotherapy, chemotherapy, or other related treatments based on the results of the pathological examination. For some elderly and frail patients who cannot tolerate surgery, Gamma Knife treatment can also be considered.

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Written by Chen Yu Fei
Neurosurgery
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neuroblastoma cure rate

Neuroblastoma is relatively likely to be a malignant tumor, typically characterized by rapid growth of malignant tumors.In the early stages of the disease, it often adheres to surrounding tissues, making it difficult to completely remove through surgery. Even with surgical treatment, the outcomes are generally modest, and recurrence is likely to occur shortly after surgery. Once recurrence occurs, the malignancy of the tumor will continue to increase.For these patients, the prognosis is poor. It is generally recommended to undergo surgical treatment early, followed by radiotherapy and chemotherapy to potentially extend the patient's lifespan, but it is usually difficult to cure.