Neuroblastoma presenting as hip pain and skull prominence in a child
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.
Published In/Presented At
Hewitt, H. R., Fugok, K. L., Greenberg, M. R., Miller, A. C., Abraham, M. G., Mazzaccaro, R. J. (2019, November). Neuroblastoma presenting as hip pain and skull prominence in a child. Radiology Case Reports. 14(11), 1427-1431.
Emergency Medicine | Pathology | Pediatrics
Department of Emergency Medicine, Department of Emergency Medicine Faculty, Department of Pathology and Laboratory Medicine, Department of Pediatrics, Department of Pediatrics Faculty