Neuroblastoma

12 min read

Neuroblastoma is a type of cancer that develops from immature nerve cells found in various areas of the body. It most commonly occurs in and around the adrenal glands, which are located on top of the kidneys. However, neuroblastoma can also develop in other areas of the abdomen, chest, neck, or spine. It is the most common cancer in infants and the most common solid tumor in children.

Risk Factors

The exact cause of neuroblastoma is unknown. However, certain genetic changes may increase the risk of developing the disease. These include changes in the ALK, MYCN, and PHOX2B genes. Other risk factors include having a family history of neuroblastoma, being born prematurely, and having certain birth defects.

Diagnosis

Neuroblastoma is usually diagnosed with imaging tests such as an ultrasound, CT scan, or MRI. A biopsy may also be done to confirm the diagnosis. Blood tests may also be done to measure levels of certain hormones and proteins.

Prognosis

The prognosis for neuroblastoma depends on the stage of the cancer, the age of the patient, and other factors. In general, the earlier the cancer is diagnosed, the better the prognosis. Treatment may include surgery, chemotherapy, radiation therapy, immunotherapy, and targeted therapy.

Take the Neuroblastoma Assessment

Symptoms

  • Pain in the abdomen, chest, or bones
  • Lumps or swelling in the abdomen, neck, or chest
  • Fever
  • Weight loss
  • Fatigue
  • High blood pressure
  • Dark circles under the eyes
  • Headaches
  • Nausea and vomiting
  • Loss of appetite
  • Irritability

If you or your child experience any of these symptoms, it is important to see a doctor right away. Early diagnosis and treatment can help improve the chances of a successful outcome.

Causes

Genetic Factors

Genetic factors may play a role in the development of neuroblastoma. Certain genetic mutations have been linked to an increased risk of developing the disease. These mutations can be inherited from a parent or can occur spontaneously. In some cases, a person may have a genetic mutation that increases their risk of developing neuroblastoma, but they may never develop the disease.

Environmental Factors

Exposure to certain environmental factors may also increase a person’s risk of developing neuroblastoma. These factors include exposure to radiation, certain chemicals, and certain viruses. It is important to note that these environmental factors are not known to cause neuroblastoma, but they may increase a person’s risk of developing the disease.

Family History

Having a family history of neuroblastoma may also increase a person’s risk of developing the disease. If a close relative has had neuroblastoma, it is important to talk to a doctor about the potential risks. A doctor may recommend genetic testing to determine if a person is at an increased risk of developing the disease.

Conclusion

Neuroblastoma is a rare form of cancer that affects the nerve cells in the body. While the exact cause of neuroblastoma is unknown, there are some factors that may increase a person’s risk of developing the disease. These factors include genetic mutations, environmental factors, and family history. It is important to talk to a doctor about any potential risks and to get tested if necessary.

Getting a Diagnosis

Diagnostic Tests for Neuroblastoma

The most common diagnostic tests for neuroblastoma include imaging tests, such as CT scans, MRI scans, and PET scans. These tests can help to identify the location and size of the tumor. Blood tests, such as urine and blood tests, can also be used to detect the presence of neuroblastoma. In some cases, a biopsy may be necessary to confirm the diagnosis.

Other Diagnostic Tests

In addition to imaging and blood tests, other diagnostic tests may be used to diagnose neuroblastoma. These tests include genetic testing, which can help to identify genetic mutations associated with the disease. Other tests, such as bone marrow biopsies and lumbar punctures, may also be used to diagnose neuroblastoma.

Conclusion

Diagnosis of neuroblastoma is important for determining the best course of treatment. Imaging tests, such as CT scans, MRI scans, and PET scans, can help to identify the location and size of the tumor. Blood tests, such as urine and blood tests, can also be used to detect the presence of neuroblastoma. In some cases, a biopsy may be necessary to confirm the diagnosis. Other tests, such as genetic testing, bone marrow biopsies, and lumbar punctures, may also be used to diagnose neuroblastoma.

Questions for Your Doctor

Diagnosis and Staging

Your doctor will need to determine the stage of the cancer in order to determine the best treatment plan. This will involve a physical exam, imaging tests, and possibly a biopsy. Your doctor will also need to determine if the cancer has spread to other parts of the body. It is important to ask your doctor about the results of these tests and what they mean for your treatment plan.

Treatment Options

Your doctor will discuss the various treatment options available for neuroblastoma. These may include surgery, chemotherapy, radiation therapy, immunotherapy, and targeted therapy. It is important to ask your doctor about the risks and benefits of each treatment option and how they may affect your overall health.

Side Effects

It is important to discuss the potential side effects of the treatment with your doctor. Some of the common side effects of neuroblastoma treatment include fatigue, nausea, hair loss, and skin changes. It is important to ask your doctor about ways to manage these side effects and any other concerns you may have.

Follow-up Care

Your doctor will discuss the need for follow-up care after treatment. This may include regular check-ups, imaging tests, and blood tests. It is important to ask your doctor about the frequency and type of follow-up care that is recommended for you or your child.

Support Services

Your doctor may also be able to provide information about support services that are available for you or your child. These may include counseling, support groups, and other resources that can help you cope with the diagnosis and treatment of neuroblastoma.

It is important to have an open and honest discussion with your doctor about neuroblastoma. Be sure to ask questions and voice any concerns you may have. Your doctor can provide you with the information and support you need to make informed decisions about your treatment.

Treatment

Surgery

Surgery is often used to remove the tumor and any affected lymph nodes. This is usually done if the tumor is localized and has not spread to other parts of the body. Surgery may also be used to remove any metastases (tumors that have spread to other parts of the body).

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells. It is often used in combination with surgery to treat neuroblastoma. Chemotherapy may also be used to shrink the tumor before surgery or to treat any metastases that may have spread to other parts of the body.

Radiation Therapy

Radiation therapy is a type of treatment that uses high-energy beams of radiation to kill cancer cells. It is often used in combination with chemotherapy to treat neuroblastoma. Radiation therapy may also be used to shrink the tumor before surgery or to treat any metastases that may have spread to other parts of the body.

Immunotherapy

Immunotherapy is a type of treatment that uses the body's own immune system to fight cancer. It is often used in combination with chemotherapy and radiation therapy to treat neuroblastoma. Immunotherapy may also be used to shrink the tumor before surgery or to treat any metastases that may have spread to other parts of the body.

Targeted Therapy

Targeted therapy is a type of treatment that uses drugs to target specific molecules in cancer cells. It is often used in combination with chemotherapy and radiation therapy to treat neuroblastoma. Targeted therapy may also be used to shrink the tumor before surgery or to treat any metastases that may have spread to other parts of the body.

Stem Cell Transplant

Stem cell transplant is a type of treatment that uses stem cells to replace damaged or destroyed cells in the body. It is often used in combination with chemotherapy and radiation therapy to treat neuroblastoma. Stem cell transplant may also be used to shrink the tumor before surgery or to treat any metastases that may have spread to other parts of the body.

Drugs & Medications

Types of Drugs Used to Treat Neuroblastoma

The type of drugs used to treat neuroblastoma will depend on the stage of the cancer and the patient's age. Common drugs used to treat neuroblastoma include:

  • Chemotherapy drugs, such as vincristine, cyclophosphamide, and doxorubicin
  • Targeted therapy drugs, such as dinutuximab and nivolumab
  • Immunotherapy drugs, such as interleukin-2 and interferon-alpha
  • Hormone therapy drugs, such as etoposide and prednisone

Side Effects of Drugs Used to Treat Neuroblastoma

The side effects of drugs used to treat neuroblastoma can vary depending on the type of drug and the patient's age. Common side effects of drugs used to treat neuroblastoma include:

  • Nausea and vomiting
  • Hair loss
  • Fatigue
  • Mouth sores
  • Diarrhea
  • Infection
  • Anemia
  • Low blood cell counts

Conclusion

Drugs can be an important part of treating neuroblastoma. It is important to talk to your doctor about the potential side effects of any drugs you may be prescribed. Your doctor can help you manage any side effects you may experience.

Diet

What to Eat

When following a diet for neuroblastoma, it is important to focus on eating nutrient-dense foods that are high in vitamins and minerals. These include:

  • Fruits and vegetables: Aim to eat a variety of colorful fruits and vegetables, such as apples, oranges, carrots, spinach, and broccoli.
  • Whole grains: Choose whole-grain breads, cereals, and pastas over refined grains.
  • Lean proteins: Include lean proteins such as fish, chicken, and beans in your diet.
  • Healthy fats: Opt for healthy fats such as olive oil, nuts, and avocados.

It is also important to stay hydrated by drinking plenty of water throughout the day.

What to Avoid

When following a diet for neuroblastoma, it is important to avoid certain foods that can be unhealthy or aggravate symptoms. These include:

  • Processed foods: Avoid processed foods such as chips, cookies, and candy.
  • Sugary drinks: Limit sugary drinks such as soda and juice.
  • High-fat foods: Avoid high-fat foods such as fried foods and fast food.
  • Alcohol: Avoid alcohol as it can interfere with treatment.

Conclusion

Eating a healthy diet is an important part of managing neuroblastoma and its symptoms. When following a diet for neuroblastoma, it is important to focus on eating nutrient-dense foods that are high in vitamins and minerals, while avoiding processed foods, sugary drinks, high-fat foods, and alcohol. By following these guidelines, you can help ensure that you are getting the nutrients you need to manage your condition.

Lifestyle

Diet and Nutrition

Eating a healthy, balanced diet is important for everyone, but especially for those living with neuroblastoma. Eating a variety of fruits, vegetables, whole grains, and lean proteins can help to provide the body with the nutrients it needs to stay healthy. It is also important to limit processed and sugary foods, as these can be detrimental to overall health. Additionally, drinking plenty of water throughout the day can help to keep the body hydrated and functioning properly.

Exercise

Exercise is an important part of staying healthy and managing neuroblastoma. Regular physical activity can help to reduce fatigue, improve mood, and boost the immune system. It is important to talk to a doctor before starting any exercise program, as some activities may be too strenuous for those with neuroblastoma. Low-impact activities such as walking, swimming, and yoga are all good options for those living with the condition.

Stress Management

Managing stress is an important part of living with neuroblastoma. Stress can worsen symptoms and make it more difficult to manage the condition. It is important to find healthy ways to cope with stress, such as meditation, deep breathing, and journaling. Additionally, talking to a therapist or counselor can be beneficial for those living with neuroblastoma.

Sleep

Getting enough sleep is essential for those living with neuroblastoma. Not getting enough sleep can worsen symptoms and make it more difficult to manage the condition. It is important to establish a regular sleep schedule and stick to it. Additionally, avoiding caffeine and electronics before bed can help to ensure a good night’s sleep.

Support System

Having a strong support system is essential for those living with neuroblastoma. Having friends and family who are understanding and supportive can make a huge difference in managing the condition. Additionally, joining a support group or online community can be beneficial for those living with neuroblastoma.

Conclusion

Living with neuroblastoma can be challenging, but there are lifestyle changes that can help to improve the quality of life for those living with the condition. Eating a healthy diet, exercising regularly, managing stress, getting enough sleep, and having a strong support system are all important for those living with neuroblastoma.