Inspiratory stridor in neonate by cervical neuroblastoma. A case report
Abstract Introduction: Neuroblastoma is the solid tumor more frequent in the infancy, although, his cervical location is rare. It may present as a asymptomatic mass or produce stridor, dyspnea o difficulty in swallowing. Description: Patient of a one month old, male reporting inspiratory stridor. RM showed a mass compatible with an unilocular cystic lymphatic malformation in right carotid and prevertebral spaces with airway compromise. The definitive diagnosis was of neuroblastoma after surgical excision. Discussion: In RM neuroblastoma and lymphatic malformations present similar patterns. This case shows the importance of a correct differential diagnosis and approach of cervical masses in newborns.
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Elluru RG, Balakrishnan K, Padua HM. Lymphatic malformations: diagnosis and management. Semin Pediatr Surg. 2014;23(4):178-85. https://doi.org/10.1053/j.sempedsurg.2014.07.002 PMid:25241095
Friedman ER, John SD. Imaging of pediatric neck masses. Radiol Clin North Am. 2011;49(4):617-32. https://doi.org/10.1016/j.rcl.2011.05.005 PMid:21807165
Okazaki T, Ohshita M, Furukawa M, Ikeda K, Ozaki Y, Lane GJ, et al. Retropharyngeal neuroblastoma in a neonate: case report and literature review. Pediatr Surg Int. 2007;23(10):1023-6. https://doi.org/10.1007/s00383-007-1990-y PMid:17661061
Papaioannou G, McHugh K. Neuroblastoma in childhood: review and radiological findings. Cancer Imaging. 2005;5:116-27. https://doi.org/10.1102/1470-7330.2005.0104 PMid:16305949 PMCid:PMC1665241
Posod A, Griesmaier E, Brunner A, Pototschnig C, Trawöger Kiechl-Kohlendorfer U. An unusual cause of inspiratory stridor in the newborn: congenital pharyngeal teratoma. A case report. BMC Pediatr. 2016;5:16:1.
Stern JS, Ginat DT, Nicholas JL, Ryan ME. Imaging of pediatric head and neck masses. Otolaryngol Clin North Am. 2015;48(1):225-46. https://doi.org/10.1016/j.otc.2014.09.015 PMid:25439556
Csanády M, Vass G, Bartyik K, Majoros V, Rovó L. Multidisciplinary management of cervical neuroblastoma in infants. Int J Pediatr Otorhinolaryngol. 2014;78(12):2103-6. https://doi.org/10.1016/j.ijporl.2014.09.015 PMid:25306308
Díaz-Manzano JA, Pelegrín-Hernández JP, Mínguez-Merlos N, Cegarra-Navarro MF. Oropharyngeal approach as a surgical alternative for cervical lymphatic malformation with airway compression. Int J Pediatr Otorhinolaryngol. 2014;78(7):1176-8. https://doi.org/10.1016/j.ijporl.2014.04.010 PMid:24837867
Elluru RG, Balakrishnan K, Padua HM. Lymphatic malformations: diagnosis and management. Semin Pediatr Surg. 2014;23(4):178-85. https://doi.org/10.1053/j.sempedsurg.2014.07.002 PMid:25241095
Friedman ER, John SD. Imaging of pediatric neck masses. Radiol Clin North Am. 2011;49(4):617-32. https://doi.org/10.1016/j.rcl.2011.05.005 PMid:21807165
Okazaki T, Ohshita M, Furukawa M, Ikeda K, Ozaki Y, Lane GJ, et al. Retropharyngeal neuroblastoma in a neonate: case report and literature review. Pediatr Surg Int. 2007;23(10):1023-6. https://doi.org/10.1007/s00383-007-1990-y PMid:17661061
Papaioannou G, McHugh K. Neuroblastoma in childhood: review and radiological findings. Cancer Imaging. 2005;5:116-27. https://doi.org/10.1102/1470-7330.2005.0104 PMid:16305949 PMCid:PMC1665241
Posod A, Griesmaier E, Brunner A, Pototschnig C, Trawöger Kiechl-Kohlendorfer U. An unusual cause of inspiratory stridor in the newborn: congenital pharyngeal teratoma. A case report. BMC Pediatr. 2016;5:16:1.
Stern JS, Ginat DT, Nicholas JL, Ryan ME. Imaging of pediatric head and neck masses. Otolaryngol Clin North Am. 2015;48(1):225-46. https://doi.org/10.1016/j.otc.2014.09.015 PMid:25439556
Gómez-González, M. R., & Díaz-Manzano, J. A. (2018). Inspiratory stridor in neonate by cervical neuroblastoma. A case report. Revista ORL, 9(1), 85–87. https://doi.org/10.14201/orl.16825
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