Neuroblastoma in Late Childhood a Case Report

晚期孩童之神經母細胞瘤

黃倫奕(Lun Yick Wang)

《中華放射線醫學雜誌》 3卷4期 (1978/12) Pp. 292-296

摘要

神經母細胞瘤是最常見的兒童腫瘤，僅次於白血球病，約有百分之八十病例在兩歲半以前發現，平均診斷年齡是兩歲。75%有轉移徵狀的是大於兩歲。腹腔外神經母細胞瘤豫後較好。轉移到肝臟的比別部位轉移者，其豫後也比較好。雖然此腫瘤的自然消退機會比任何其他惡性腫瘤高，但其豫後卻與年齡成反比。局部性神經母細胞瘤如在兩歲以內發現並予以治療，則有百分之九十的治癒率。
兩歲以後才發現的病例很少，其豫後也非常不好。

並列摘要

Neuroblastoma is the second most common childhood neoplasm, being next to leukemia. 80% of the cases are found in children under 2(1/2) years of age. The prognosis for children with localized neuroblastoma under two years of age is excellent with almost 90% survival. The median age at diagnosis of neuroblastoma is two years; initial diagosis in late childhood is rare but having highest rate of spontaneous regression of any malignancy in man.
The case Ⅰ present is a girl who was first diagnosed as having neuroblastoma at the age of eight years and the entire course from diagnosis to death was less than two months suggesting a strong influence of age upon survival which is inversely proportional to age.