Neuroblastomas arise in the sympathetic nerves and ganglia, as well as in the adrenal medulla. Most often they develop in the area of the adrenal glands and underlying tissues, then from the ganglia of the neck, posterior mediastinum, retroperitoneum and abdominal cavity. This form accounts for up to 10% of all malignant tumors of childhood.
60% of these tumors are diagnosed before the age of 1 year, between the 1st and 2nd years of life - 26%, in children over 2 years - 14%. Neuroblastomas are highly malignant tumors that metastasize to the skeleton or liver. Metastases to the lungs are rare.
Spontaneous differentiation of this tumor into a benign neuroganglioma is possible. Markers of tumor growth are catecholamines. Combined treatment - surgery in combination with radiation and chemotherapy (cyclophosphamide, vincristine, adriablastine, cisplatin).
The average 3-year survival rate is 30%.