先天性神经母细胞瘤的生化分析。

IF 1.1 Q4 MEDICAL LABORATORY TECHNOLOGY
Cristina Montero Domínguez, Alicia Ortiz Temprado, Laura Martínez Figueras, Alba Guillamón Seoane, Miguel Fernández Ruano
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引用次数: 0

摘要

目的:近年来,先天性神经母细胞瘤的发病率有所上升。本研究的目的是描述本中心诊断的先天性神经母细胞瘤病例的临床和生化特征。病例介绍:我们报告三例在本院诊断的先天性神经母细胞瘤。在两个,诊断作出产前,而另一个情况下,发现在新生儿期。在这三个病例中,神经母细胞瘤位于腹部区域,在单个空尿样本中显示儿茶酚胺或其代谢物浓度升高。2例肿瘤为M期,1例为L2期。在研究的任何病例中,N-MYC癌原均未扩增。三例组织病理学分析均有利。2例患者肿瘤被切除。三人接受了化疗。结论:儿茶酚胺及其代谢物的测定在神经母细胞瘤的诊断中具有重要意义。当无法收集24小时尿液时,可使用单次空尿根据肌酐浓度计算该指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Biochemical analysis in congenital neuroblastoma.

Biochemical analysis in congenital neuroblastoma.

Objectives: The incidence of congenital neuroblastoma has increased in the recent years. The purpose of this study was to describe the clinical and biochemical characteristics of cases of congenital neuroblastoma diagnosed in our center.

Case presentation: We report three cases of congenital neuroblastoma diagnosed in our hospital. In two, diagnosis was made prenatally, whereas the other case was detected in the immediate neonatal period. In the three cases, neuroblastoma was located in the abdominal region and exhibited elevated concentrations of catecholamines or their metabolites in single voided urine samples. Two tumors were classified as stage M, and one as stage L2. The N-MYC oncogen was not amplified in any of the cases studied. Histopathological analysis was favorable in the three cases. The tumor was resected in two patients. The three received chemotherapy.

Conclusions: The measurement of catecholamines and their metabolites is essential in the diagnosis of neuroblastoma. When 24 h urine cannot be collected, single voided urine can be used to calculate the index based on creatinine concentrations.

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