24例小儿神经母细胞瘤死亡分析

摘要

本文对24例小儿神经母细胞瘤作了分析,指出了影响预后的重要因素,分析造成早期诊断困难的原因,作者认为除了小便VMA和骨骼穿刺可作为常规检查外,还推荐作~(99m)Tc-MDP全身骨骼扫描,有助于早期诊断.%This paper reports an analysis of 24 cases of neuroblastoma.The age at initial diagnosis,the location of primary tumor and grade of its histological differentiation are not the principal factors of poor survival,while the skeletal metastasis demonstrated radiologically always proved a fatal prognosis.It is difficult to make an early diagnosis as the tumor which originates in the sympathetic tissues at different levels along the skull-spine axis may give rise very different clinical features.Total skeleton ~(99m)Tc-MDP scanning as well as the determination of 24 hours urinary VMA levels and a bone marrow puncture are preferred in making diagnosis.