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Stage IVN neuroblastoma: MRI diagnosis of left supraclavicular “Virchow's” nodal spread

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Abstract

Stage IV neuroblastoma is associated with high mortality; an exception are patients whose stage IV status includes distant positive nodes, but no skeletal metastases —stage IVN neuroblastoma. We describe our experience with preoperative MRI in three patients with extensive abdominal neuroblastoma without cortical bony involvement but with unsuspected metastatic involvement to the left supraclavicular (Virchow's) node. We review findings of left supraclavicular nodal spread in five earlier cases of IVN neuroblastoma.

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References

  1. Rosen EM, Cassady JR, Frantz CN, et al (1985) Stage IV-N: a favorable subset of children with metastatic neuroblastoma. Med Pediatr Oncol 13:194–198

    PubMed  Google Scholar 

  2. Yamada S, Ishii E, Nakagawara A, et al (1992) Features and outcome of advanced neuroblastoma with distant lymph node metastasis. Pediatr Hematol Oncol 9:49–56

    PubMed  Google Scholar 

  3. Youshizumi Y, Sugiura Y, Morisaki Y, et al (1992) Mitomycin-C-sensitive carcinoid tumor of the gallbladder: report of a case. Gan to Kagaku Rycho 19:893–896

    Google Scholar 

  4. Teshima T, Inoue T, Ikeda H, et al (1993) Mid dose rate intracavitary therapy for cervical cancer with a selection: a preliminary report. Radiat Med 11:242–246

    PubMed  Google Scholar 

  5. Adolphs HD, Weissbach L, Distelmaier W (1980) Significance of supraclavicular lymph node biopsy for staging, therapy and prognosis of testicular tumors. Eur Urol 6:339–343

    PubMed  Google Scholar 

  6. Kew MC (1991) Virchow-Troisier's lymph node in hepatocellular carcinoma. J Clin Gastroenterol 13:217–219

    PubMed  Google Scholar 

  7. Silber JH, Evans AE, Friedman M (1991) Models to predict outcome from childhood neuroblastoma; the role of serum ferritin and tumor histology. Cancer Res 51:1426

    PubMed  Google Scholar 

  8. Brodeur GM, Pritchard J, Berthold F, et al (1993) Revisions of the international criteria for neuroblastoma diagnosis, staging and response to treatment. J Clin Oncol 11:1466–1477

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, 10021, New York, NY, USA

    S. J. Abramson

  2. Department of Radiology, Columbia Presbyterian Medical Center, Babies Hospital, New York, New York, USA

    W. E. Berdon & C. Stolar

  3. Department of Pediatric Surgery, Columbia Presbyterian Medical Center, Babies Hospital, New York, New York, USA

    C. Ruzal-Shapiro

  4. Department of Pediatric Oncology, Columbia Presbyterian Medical Center, Babies Hospital, New York, New York, USA

    J. Garvin

Authors
  1. S. J. Abramson
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  2. W. E. Berdon
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  3. C. Stolar
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  4. C. Ruzal-Shapiro
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  5. J. Garvin
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Abramson, S.J., Berdon, W.E., Stolar, C. et al. Stage IVN neuroblastoma: MRI diagnosis of left supraclavicular “Virchow's” nodal spread. Pediatr Radiol 26, 717–719 (1996). https://doi.org/10.1007/BF01383387

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  • DOI: https://doi.org/10.1007/BF01383387

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