Neuroblastoma presenting as hip pain and skull prominence in a child

Publication/Presentation Date

9-2019

Abstract

Neuroblastoma is a common cancer in children especially those under 5-years old, however they can have varied presentations that may make diagnosis difficult. Neuroblastoma is not usually high on a clinician’s differential for a child’s gait dysfunction. We describe a case of a 6-year-old female who presented to the Emergency Department for new onset right hip pain. She had associated gait disturbance and pain with ambulation as well as a new lump on her right parietal skull. An MRI of the brain, lumbar spine, and pelvis revealed the diagnosis of a left adrenal neuroblastoma that had metastasized to the femur, the lumbar spine, and the skull. This case shows the importance of early suspicion of malignancy in a patient with seemingly disparate symptoms to ensure early intervention.

Volume

14

Issue

11

First Page

1427

Last Page

1431

Comments

This is an open access article under the CC BY-NC-ND license.

( http://creativecommons.org/licenses/by-nc-nd/4.0/ )

Disciplines

Emergency Medicine | Pathology | Pediatrics

PubMedID

31695831

Department(s)

Department of Emergency Medicine, Department of Emergency Medicine Faculty, Department of Pathology and Laboratory Medicine, Department of Pediatrics, Department of Pediatrics Faculty

Document Type

Article

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