The Pitfall of Ganglioneuroblastoma-Nodular Diagnosis: Clinical and Imaging Considerations over a Rare Bifocal Sporadic Case.

ganglioneuroblastoma multifocal tumor neuroblastoma

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
19 Dec 2022
Historique:
received: 23 11 2022
revised: 14 12 2022
accepted: 15 12 2022
entrez: 23 12 2022
pubmed: 24 12 2022
medline: 24 12 2022
Statut: epublish

Résumé

Neuroblastic tumors (NTs) represent the most common extracranial neoplasm occurring in childhood. Although ganglioneuroblastoma intermixed (GNBI) and ganglioneuroma (GN) are classified as very low-risk tumors, neuroblastoma (NB) and ganglioneuroblastoma-nodular (GNBN) may represent a serious risk to survival. Unfortunately, areas of GNBI and GNBN can coexist in the same mass, leading to incorrect risk staging when only biopsy is performed. Herein, we describe a case of multifocal NT (thoracic and abdominal localization) occurring in a 4-year-old male. Different histological subtypes, namely GNBI and GNBN, were revealed in the two lesions. We focus on the difficulties of proper diagnosis and risk stratification, underlining the usefulness of several diagnostic tools for appropriate management and therapeutic choices.

Identifiants

pubmed: 36553228
pii: diagnostics12123221
doi: 10.3390/diagnostics12123221
pmc: PMC9777706
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Claudio Montante (C)

Department of Onco-Hematology, Cell and Gene Therapies, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Francesco Fabozzi (F)

Department of Onco-Hematology, Cell and Gene Therapies, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Maria Felicia Villani (MF)

Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Maria Luisa D'Andrea (ML)

Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Alessandra Stracuzzi (A)

Department of Pathology, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Gian Luigi Natali (GL)

Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Giada Del Baldo (G)

Department of Onco-Hematology, Cell and Gene Therapies, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Francesca Del Bufalo (F)

Department of Onco-Hematology, Cell and Gene Therapies, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Maria Carmen Garganese (MC)

Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Annalisa Serra (A)

Department of Onco-Hematology, Cell and Gene Therapies, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Paolo Tomà (P)

Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Rita Alaggio (R)

Department of Pathology, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Sabina Vennarini (S)

Pediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale Tumori, 20133 Milan, Italy.

Giovanna Stefania Colafati (GS)

Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Angela Mastronuzzi (A)

Department of Onco-Hematology, Cell and Gene Therapies, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Maria Antonietta De Ioris (MA)

Department of Onco-Hematology, Cell and Gene Therapies, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Classifications MeSH