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Neuroblastoma presenting as hip pain and skull prominence in a child

Neuroblastoma is a common cancer in children especially those under 5-years old, however they can have varied presentations that may make diagnosis difficult. Neuroblastoma is not usually high on a clinician's differential for a child's gait dysfunction. We describe a case of a 6-year-old...

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Autores principales: Hewitt, Hunter R., Fugok, Kimberly L., Greenberg, Marna Rayl, Miller, Andrew C., Abraham, Mini G., Mazzaccaro, Richard J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823786/
https://www.ncbi.nlm.nih.gov/pubmed/31695831
http://dx.doi.org/10.1016/j.radcr.2019.09.010
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author Hewitt, Hunter R.
Fugok, Kimberly L.
Greenberg, Marna Rayl
Miller, Andrew C.
Abraham, Mini G.
Mazzaccaro, Richard J.
author_facet Hewitt, Hunter R.
Fugok, Kimberly L.
Greenberg, Marna Rayl
Miller, Andrew C.
Abraham, Mini G.
Mazzaccaro, Richard J.
author_sort Hewitt, Hunter R.
collection PubMed
description Neuroblastoma is a common cancer in children especially those under 5-years old, however they can have varied presentations that may make diagnosis difficult. Neuroblastoma is not usually high on a clinician's differential for a child's gait dysfunction. We describe a case of a 6-year-old female who presented to the Emergency Department for new onset right hip pain. She had associated gait disturbance and pain with ambulation as well as a new lump on her right parietal skull. An MRI of the brain, lumbar spine, and pelvis revealed the diagnosis of a left adrenal neuroblastoma that had metastasized to the femur, the lumbar spine, and the skull. This case shows the importance of early suspicion of malignancy in a patient with seemingly disparate symptoms to ensure early intervention.
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spelling pubmed-68237862019-11-06 Neuroblastoma presenting as hip pain and skull prominence in a child Hewitt, Hunter R. Fugok, Kimberly L. Greenberg, Marna Rayl Miller, Andrew C. Abraham, Mini G. Mazzaccaro, Richard J. Radiol Case Rep Emergency Radiology Neuroblastoma is a common cancer in children especially those under 5-years old, however they can have varied presentations that may make diagnosis difficult. Neuroblastoma is not usually high on a clinician's differential for a child's gait dysfunction. We describe a case of a 6-year-old female who presented to the Emergency Department for new onset right hip pain. She had associated gait disturbance and pain with ambulation as well as a new lump on her right parietal skull. An MRI of the brain, lumbar spine, and pelvis revealed the diagnosis of a left adrenal neuroblastoma that had metastasized to the femur, the lumbar spine, and the skull. This case shows the importance of early suspicion of malignancy in a patient with seemingly disparate symptoms to ensure early intervention. Elsevier 2019-09-26 /pmc/articles/PMC6823786/ /pubmed/31695831 http://dx.doi.org/10.1016/j.radcr.2019.09.010 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Emergency Radiology
Hewitt, Hunter R.
Fugok, Kimberly L.
Greenberg, Marna Rayl
Miller, Andrew C.
Abraham, Mini G.
Mazzaccaro, Richard J.
Neuroblastoma presenting as hip pain and skull prominence in a child
title Neuroblastoma presenting as hip pain and skull prominence in a child
title_full Neuroblastoma presenting as hip pain and skull prominence in a child
title_fullStr Neuroblastoma presenting as hip pain and skull prominence in a child
title_full_unstemmed Neuroblastoma presenting as hip pain and skull prominence in a child
title_short Neuroblastoma presenting as hip pain and skull prominence in a child
title_sort neuroblastoma presenting as hip pain and skull prominence in a child
topic Emergency Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823786/
https://www.ncbi.nlm.nih.gov/pubmed/31695831
http://dx.doi.org/10.1016/j.radcr.2019.09.010
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