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Books > Medicine > Clinical & internal medicine > Paediatric medicine
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Neuroblastoma - mIBG in its Diagnosis and Management (Paperback, Softcover reprint of the original 1st ed. 1989)
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Neuroblastoma - mIBG in its Diagnosis and Management (Paperback, Softcover reprint of the original 1st ed. 1989)
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Neuroblastoma is the third most common malignancy of childhood.
accounting for 8% of all cancers in patients under 15 years of age.
In the majority of cases. by the time neuroblastoma is diagnosed.
it has already spread from its site of origin to involve distant
sites. Approximately 90% of cases of neuroblastoma can be diagnosed
by a combination of techniques including detection of specific
tumour markers in the urine. histopathological and
immunocytological assessment of involved bone marrow and the
'characteristic' appearances of tumours dem- onstrated by
computerised tomography and ultrasonography. However. despite this
plethora of techniques. up to. 10% of cases of neuroblastoma are
still difficult to diagnose and rely on excisional biopsy of a site
of disease. It was against this background that the scintigraphic
localisation of neuroblastoma with the radiolabelled guanethidine
analogue. mIBG. became available. With mIBG scintigraphy it is now
possible to demonstrate the presence of neuro- blastoma (and
related tumours) at the primary site. soft tissue sites. in the
bone marrow and in cortical bone. in a single investigation. The
success of mIBG scintigraphy depends on many factors including the
choice of isotope for labelling the mIBG. the equipment used to
carry out the procedure. and the manipulation and interpretation of
the information obtained. At the Royal Marsden Hospital we have
performed over 100 mIBG studies in children. and our advice has
frequently been sought by other centres who are. or intend to
become.
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