THE APPEARANCE OF NEUROBLASTOMA IN CT
Abstract
CT scans were reviewed of 22 children diagnosed with neuroblastoma but not yet treated. Most of the children had abdominal mass or bone pain. 63.6% (14/22) of the tumors originated in the adrenal glands, 13.6% (3/22) were in the paravertebral region, 9.1% (2/22) in the pelvic cavity, and 13.6% (3/22) in the chest. According to Evan's system, 50% (11/22) of the patients were stage III, 40.9% (9/22) stage IV, and 9.1% (2/22) stage IV-S. Most of the tumors were poorly defined. One half of the tumors contained calcifications. 22.7% (5/22) had invaded the spinal canal. Metastases (bone, liver, or pulmonary) were seen in CT scans in 72.7% (8/11) of the patients at stage IV or IV-S. Most of the patients only sought help when the neuroblastomas had already reached late stages. CT scans of the neuroblastomas not only demonstrated the extent of the primary tumor, but also helped to detect metastases.
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