To the Editor.—
The value of computerized tomographic (CT) scanning of the brain in the diagnosis and treatment of metastatic neuroblastoma has not, to our knowledge, been addressed in the literature.1-4 The following case indicates the value of CT scanning.
Report of a Case.—A
7-year-old boy had pain in his right leg with persistent fever, and on examination had an abdominal mass and questionable papilledema. Stage IV neuroblastoma was diagnosed and a CT scan was normal. One year later, cranial metastases were indicated by large lumps under the scalp and a CT scan demonstrated extensive intracranial dural implants (Figure). Two months later, he died. Necropsy was not allowed.
The 12% two-year survival anticipated in a child 2 years of age or older emphasizes the rapid growth of this tumor despite all forms of therapy.5,6 The evidence from CT scans of extensive intracranial involvement in this case offers, to
Curless RG. Cranial Computerized Tomography in Childhood Neuroblastoma. Arch Neurol. 1980;37(5):326. doi:10.1001/archneur.1980.00500540104028
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