• Madison A Waldron, Steven L Halpern, Tatiana Sikorskyj, and Catherine A Mazzola.
• Atlantic Health Systems-Goryeb Children's Hospital, Morristown, New Jersey, USA. Electronic address: Madisonwaldron2@gmail.com.
• World Neurosurg. 2019 Sep 1; 129: 349-353.

BackgroundInfants and young children with neuroblastoma (NB) may present with metastases. The primary tumor most commonly originates in the abdomen and metastasizes to lymph nodes, liver, and bone marrow. Infants and young children presenting with multiple skull metastases are rare.MethodsWe present a rare case of a 20-month-old child who presented with metastatic neuroblastoma and multiple skull lesions. The child responded well to induction chemotherapy followed by myeloablative busulfan/melphalan consolidation.ResultsThe child had substantial tumor reduction after chemotherapy was started. There was a significant decrease in tumor sizes and uptake, as seen in the metaiodobenzylguanidine study. The 6-month follow-up examination showed complete remission, and the remission continues.ConclusionsInfants and young children with neuroblastoma rarely present with metastatic lesions to the skull. Even large lesions involving the skull base may be successfully treated with chemotherapy. The use of myeloablative busulfan/melphalan consolidation after induction chemotherapy can decrease the overall metastatic tumor burden. Craniofacial specialists should be aware of treatment options for these young children.Copyright © 2019 Elsevier Inc. All rights reserved.

18 keywords...

hide…