Pediatr Allergy Respir Dis.
1999 Sep;9(3):327-333.
A Case of Cervical Neuroblastoma Complained Chiefly with Stridor
- Affiliations
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- 1Department of Pediatrics, Kangnam General Hospital Public Co, Korea.
- 2Department of Radiology, Kangnam General Hospital Public Co, Korea.
- 3Department of Otorhinolaryngology, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
- Primary cervical neuroblastoma is very rare disease in neonates and should be distinguished with other diseases, which cause stridor in neonate, including laryngomalacia, vocal cord paralysis, laryngeal web, laryngotracheal esophageal cleft, laryngotracheal stenosis, etc. It is characterized by cough, stridor, dysphagia, neck mass, Horner syndrome and heterochromia iridis. Survival rate is high even in the advanced cases, in which the residual mass is remained after partial resection, without further therapy. A 1-day-old girl showed severe dyspnea with inspiratory stridor after birth. At first, she was misdiagnosed as a case of laryngomalacia, but later proved to have stage I primary neuroblastoma by plain X-ray film of lateral view of the neck, flexible nasolaryngoscopy, and computerized tomography. She has been well without relapse after total resection for 1 (1/2) year. We report this case as the first case in Korea.