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LETTER TO THE EDITOR Table of Contents   
Year : 2013  |  Volume : 10  |  Issue : 4  |  Page : 396
Abdominal neuroblastoma in children


1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Joseph Ayobabalola University, Ikeji-Arakeji, Osun State, Nigeria

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Date of Web Publication23-Jan-2014
 

How to cite this article:
Joob B, Wiwanitkit V. Abdominal neuroblastoma in children. Afr J Paediatr Surg 2013;10:396

How to cite this URL:
Joob B, Wiwanitkit V. Abdominal neuroblastoma in children. Afr J Paediatr Surg [serial online] 2013 [cited 2019 Dec 15];10:396. Available from: http://www.afrjpaedsurg.org/text.asp?2013/10/4/396/125461
Sir,

The recent report on abdominal neuroblastoma (NBL) in children is very interesting. [1] Aldaqal and Turki, concluded that 'primary complete surgical removal of tumour is advisable in localised NBL with a good outcome, whereas in advanced cases, it is better to start with pre-operative chemotherapy to downsize the tumour mass and safe delayed surgical excision'. [1] In fact, the management of paediatric NBL is usually complicated and the outcome might be sometimes not favourable. Adding to the main surgical management and additional chemotherapy, the use of radiotherapy should be mentioned. Nazmy and Khafaga mentioned that 'the use of intensity-modulated radiation therapy in paediatric NBL confers higher target conformality with better sparing of the kidneys and it did not show any considerable short term side-effects'. [2] Nevertheless, although radiotherapy might add chance for increased surviving the alteration of metabolism leading to metabolic syndrome is an important adverse effect of the treatment. [3]

 
   References Top

1.Aldaqal SM, Turki AM. Clinico-pathological patterns of a rare presentation of abdominal neuroblastoma in children. Afr J Paediatr Surg 2013;10:100-7.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Nazmy MS, Khafaga Y. Clinical experience in pediatric neuroblastoma intensity modulated radiotherapy. J Egypt Natl Canc Inst 2012;24:185-9.  Back to cited text no. 2
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3.van Waas M, Neggers SJ, Raat H, van Rij CM, Pieters R, van den Heuvel-Eibrink MM. Abdominal radiotherapy: A major determinant of metabolic syndrome in nephroblastoma and neuroblastoma survivors. PLoS One 2012;7:e52237.  Back to cited text no. 3
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Correspondence Address:
Beuy Joob
Sanitation 1 Medical Academic Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.125461

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