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A Single-Institution Analysis of Surveillance Practice for Low-Risk Neuroblastic Tumors.

J Surg Res

January 2025

Division of Pediatric Surgery, Nationwide Children's Hospital, Department of Surgery, The Ohio State University College of Medicine, Columbus, Ohio. Electronic address:

Introduction: Currently, few prospective guidelines exist for the surveillance of children with low-risk neuroblastic tumors (LRNBTs), including ganglioneuroma or ganglioneuroblastoma intermixed. This study aims to describe our institutional approach to LRNBT surveillance following surgical resection or nonoperative management. We hypothesize that length of surveillance can be reduced due to low recurrence risk.

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Arterio-ureteral fistula (AUF) is a rare condition affecting nearby adult-only patients. Patients usually present with hematuria, often starting as intermittent hematuria which frequently increases, and may lead to hemorrhagic shock. Without rapid diagnosis and prompt treatment, AUF can be lethal.

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Article Synopsis
  • Ganglioneuroma (GN) is the least aggressive and most mature type of neuroblastic tumors, typically found in the chest, abdomen, and adrenal glands.
  • It primarily affects children under 10 years old, but metastasis to lymph nodes or other organs can occur very rarely.
  • The case discussed involves a 4-year-old child with a primary adrenal ganglioneuroma that had metastasized to lymph nodes, but without any immature neuroblastoma cells present.
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Ganglioneuromas are rare tumors arising from retroperitoneal and posterior mediastinal sympathetic nerves. Intracranial trigeminal nerve ganglioneuromas are even more rare, with only seven cases reported to date. We present a case of a 65-year-old male with a right-sided throbbing headache type and blindness in his right eye.

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