Neuroblastoma diagnosed after surgery for a benign condition
MetadataShow full item record
We report a case of neuroblastoma diagnosed in an infant 8 months old who was being followed-up due to antenatal hydronephrosis. Postnatal imaging findings were suggestive of bilateral UPJ obstruction. Left pyeloplasty was performed on the postnatal third month. An emergent early postoperative CT scan, performed due to considerable decrease in Hb/Htc values, revealed negative results for any kind of collection or tumor. At the postoperative fourth month, USG revealed a solid left adrenal mass. Blood and urine test results were suggestive of neuroblastoma. On surgical exploration adrenal mass was excised. Pathologic examination confirmed the diagnosis of neuroblastoma. Patient had stage 1 disease with favourable histopathologic features. This low-risk tumor, can be treated with primary surgery alone with excellent outcomes. Neuroblastoma either detected by mass screening programs or diagnosed incidentally on urinary tract imaging expected to be localized and have a good prognosis.