Significance of Image-defined Risk Factors for Surgical Complications in Patients with Abdominal Neuroblastoma

Autor: U. Hinz, Stefan Holland-Cunz, Jens-Peter Schenk, Patrick Günther, C. J. Schupp, Clemens Stockklausner
Rok vydání: 2011
Předmět:
Zdroj: European Journal of Pediatric Surgery. 21:314-317
ISSN: 1439-359X
0939-7248
DOI: 10.1055/s-0031-1280824
Popis: INTRODUCTION Neuroblastoma (NB) is one of the most common malignant tumors in infancy. The commonly used International Neuroblastoma Staging System is not suitable for determining the surgical risks. To address this, we aimed to evaluate the correlation between so-called image-defined risk factors (IDRFs) and the surgical risks in abdominal neuroblastoma. MATERIAL AND METHODS We evaluated 60 cases who underwent surgical intervention and examined the pre-surgical radiological imaging to look for IDRFs and surgical complications in children with abdominal neuroblastoma. RESULTS The MRI- and CT-scans showed a total of 122 IDRFs in 39 cases. Complete resection was carried out in 50%, partial excision in 32%, and biopsy in 18% of cases. Total resection was possible in 100% of cases with no IDRF. Where IDRFs were present, total resection was only possible in 26% of cases (p
Databáze: OpenAIRE