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Pediatr Int. 2016 Oct;58(10):1090-1092. doi: 10.1111/ped.13094.

Conservative treatment of massive hemothorax in a girl with neuroblastoma.

Author information

1
Department of Pediatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima City, Kagoshima, Japan.
2
Department of Pediatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima City, Kagoshima, Japan. okamoto@m2.kufm.kagoshima-u.ac.jp.
3
Department of Pediatric Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima City, Kagoshima, Japan.
4
Department of Pathology, Kagoshima University Medical and Dental Hospital, Kagoshima City, Kagoshima, Japan.
5
Department of Pathology, National Center of Child Health and Development, Setagaya, Tokyo, Japan.

Abstract

We report the case of a 1-year-old girl with stage 4 neuroblastoma who developed massive hemothorax due to tumor invasion before treatment. She presented with tachypnea, worsening anemia, and oxygen desaturation. Hemothorax was diagnosed based on chest radiography, ultrasonography, and diagnostic thoracic puncture results. High neuron-specific enolase, vanillylmandelic acid, and homovanillic acid as well as computed tomography strongly supported a diagnosis of neuroblastoma. Chemotherapy along with intermittent puncture drainage, oxygen, and blood transfusion reduced the accumulated blood, and hemothorax disappeared within 1 week. Thus, it is possible to avoid invasive treatment for massive hemothorax by initiating chemotherapy for chemosensitive solid tumors, including neuroblastoma.

KEYWORDS:

chemotherapy; hemothorax; neoplasm; neuroblastoma; tumor

PMID:
27804245
DOI:
10.1111/ped.13094
[Indexed for MEDLINE]

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