Case report: multiple synchronous primary tumors in a 3-year-old child


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Abstract

Clinical case. In the Institute of Pediatric Oncology and Hematology a 3-year-old boy underwent comprehensive examination, including modern methods of radiological diagnostics and morphological studies. The diagnosis was proved as multiple synchronous primary tumor: 1) Miksofibrosarkoma of soft tissue of the anterior chest wall, stage I. T1N0M0. 2) Neuroblastoma of the pelvis, stage I by INSS. We performed radical surgical treatment. According to the protocols of treatment we performed all necessary additional studies to identify risk group for each tumor. The tumors showed low risk. The patient needed no special treatment. Results. Following the postoperative period the child is being under dynamic monitoring. At present the patient is alive without evidence of recurrence or disease progression. Conclusions. Morphological verification of diagnosis at the initial stage of treatment is important for determining treatment strategy. Current approaches to the definition of risk for cancer can achieve good results without undue intensification of treatment.

About the authors

A. P Kazantsev

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

Aleksander V. Hizhnikov

N.N. Blokhin Russian Cancer Research Center

Email: sasha88amoral@mail.ru
MD 115478, Moscow, Russian Federation

P. A Kerimov

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

M. A Rubansky

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

M. V Rubanskay

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

O. A Kapkova

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

D. V Rybakova

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

I. V Nechushkina

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

E. I Boichenko

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

O. M Romantsova

N.N. Blokhin Russian Cancer Research Center

Research Institute of Pediatric Oncology and Hematology 115478, Moscow, Russian Federation

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