Pediatr Allergy Respir Dis.  1999 Sep;9(3):327-333.

A Case of Cervical Neuroblastoma Complained Chiefly with Stridor

Affiliations
  • 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.

Keyword

Primary cervical neuroblastoma; Neonate; Stridor

MeSH Terms

Constriction, Pathologic
Cough
Deglutition Disorders
Dyspnea
Female
Horner Syndrome
Humans
Infant, Newborn
Korea
Laryngomalacia
Neck
Neuroblastoma*
Parturition
Rare Diseases
Recurrence
Respiratory Sounds*
Survival Rate
Vocal Cord Paralysis
X-Ray Film
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