Indian Journal of Urology
CASE REPORT
Year
: 2001  |  Volume : 17  |  Issue : 2  |  Page : 170--172

Intrarenal neuroblastoma - a diagnostic dilemma: A report of three cases


Anupam Lall, Minu Bajpai, Devendra Kumar Gupta 
 Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Devendra Kumar Gupta
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi - 110 029
India

Differentiation between the Wilms«SQ» tumor (WT) and the intrarenal neuroblastoma (IRNB) is imperative, as the prognosis and the treatment are different for these condi­tions. It may pose a diagnostic challenge to distinguish them pre-operatively. Over the period of last 10 years (1990-1999), 3 children aged 2 months to 4 years were diagnosed to have IRNB. 2 cases were operated with a provisional diagnosis of WT, but on histology were found to have neuroblastoma. Taking benefit from our previous experience, the third case we encountered with a renal lump and bony metastasis with clinical features not con­sistent with the diagnosis of Wilms«SQ» tumor was further investigated. Urinary catecholamines were significantly elevated and there was bone marrow involvement and positive bone scan for multiple bony metastasis. 2 pa­tients are on chemotherapy and follow-up for last 6 months, while 1 died 6 years back after a follow-up of 2 years. Patients who have a renal mass on imaging, with clinical features of rapid deterioration in general condi­tion and evidence of bony secondaries, should undergo work-up for neuroblastoma pre-operatively to confirm the diagnosis.


How to cite this article:
Lall A, Bajpai M, Gupta DK. Intrarenal neuroblastoma - a diagnostic dilemma: A report of three cases.Indian J Urol 2001;17:170-172


How to cite this URL:
Lall A, Bajpai M, Gupta DK. Intrarenal neuroblastoma - a diagnostic dilemma: A report of three cases. Indian J Urol [serial online] 2001 [cited 2022 Aug 11 ];17:170-172
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2001;volume=17;issue=2;spage=170;epage=172;aulast=Lall;type=0