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Conservative treatment of massive hemothorax in a girl with neuroblastoma
Author(s) -
Shiokawa Naohiro,
Okamoto Yasuhiro,
Kodama Yuichi,
Nishikawa Takuro,
Tanabe Takayuki,
Mukai Motoi,
Yoshioka Takako,
Kawano Yoshifumi
Publication year - 2016
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13094
Subject(s) - medicine , girl , hemothorax , neuroblastoma , pediatrics , general surgery , surgery , pneumothorax , biology , genetics , cell culture , psychology , developmental psychology
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.