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Surgery: Neuroblastoma (Ganglioneuroblastoma)

Neuroblastoma is a malignant tumor growing from cells of the sympathetic nervous system. This abnormality is usually detected in children 1 to 5 years old. After that threshold, the incidence rate is reduced significantly. Theoretically, neuroblastoma may develop in any part of the body, but it is commonly located in the abdomen, chest and neck. When choosing a treatment method, the physician takes into account not only the tumor parameters, but also the patient's risk group.

Low-Risk Group

Low-risk patients usually undergo surgical removal of the tumor only. Thereafter, the child is followed up by the oncologist. In rare cases, surgery is replaced by chemotherapy.

In infants, the spontaneous cure is possible, so they are sometimes subjected to simple observation. If the tumor begins to progress, the need for surgery is considered.

Medium (Intermediate) Risk Group

Such patients are treated comprehensively. In addition to surgical techniques, the chemotherapy and/or radiation therapy is used.

For an inoperable tumor, the chemotherapy is a primary recommendation. Administration of cytotoxic drugs reduces neuroblastoma size, allowing for its partial or complete removal. The modern treatment protocols include platinum drugs, vinca alkaloids, epipodophylotoxins, topoisomerase inhibitors, etc. Antibiotics are selected for prevention of infectious complications.

After tumor removal, radiotherapy or repeated chemotherapy is prescribed. This approach allows destroying the remnants of the cancer cells in the body and prevent the relapse.

High-Risk Group

Children at high risk are prescribed radical surgery, followed by the high-dose chemotherapy. As the intense effect of cytotoxic drugs leads to suppression of the stem cells functions, the autologous bone marrow transplantation must be conducted.

Biotherapy is often used to prevent the relapses. The patients are usually prescribed 13-cis-retinoic acid, stimulating the normal maturation of nerve cells. Drug treatment takes several months.

Subject to a proper treatment selection, the likelihood of overcoming the neuroblastomas is generally high. The best prognosis is seen in children from the medium and intermediate risk groups, where the number of cured patients reaches 70 to 90%.

 

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Martha-Maria Hospital in Munich

8.9/10 from 23 Votes

Department of General, Abdominal and Thoracic Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #286999

The Department of General, Abdominal and Thoracic Surgery at the Martha-Maria Hospital in Munich specializes in endocrine surgery, minimally invasive surgery, gastrointestinal surgery (all diseases of the gastrointestinal tract requiring surgical treatment), lung and vascular surgery as well as emergency surgery.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 18602.00

District Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes

Department of General, Visceral, Vascular Surgery and Traumatology

Resection of Neuroblastoma (ganglioneyroblastoma) #300730

The Department of General, Visceral, Vascular Surgery and Traumatology at the District Hospital St. Elisabeth Grevenbroich specializes in abdominal and vascular surgery, as well as in the treatment of accident victims.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Grevenbroich

Price 20152.00

University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

Department of Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #212967

The Department of Surgery at the university hospital Klinikum rechts der Isar provides a wide range of treatment of diseases requiring surgical intervention.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 20680.00

University Hospital RWTH Aachen

9.2/10 from 41 Votes

Department of General, Abdominal and Transplant Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #211749

The Department of General, Visceral and Transplant Surgery at the University Hospital Aachen is one of the biggest visceral surgery centers in North Rhine-Westphalia. The priority area is oncologic visceral surgery with a special competence in the field of liver and pancreas.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificatecertificate

Price 20439.00

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of General, Visceral, Vascular and Endocrine Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #248165

The Department of General, Visceral and Vascular Surgery focuses on surgery and research in the field of endocrinology, colon cancer and vascular medicine. Modern and interdisciplinary treatment technology, such as "keyhole surgery" and interventional surgery, are an integral part of the work.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle
certificate

Price 20320.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of General, Visceral and Transplant Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #211021

The Department of General, Visceral and Transplant Surgery at the Heidelberg University Hospital is world famous for its first-class medical care of the university level.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg
certificate

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of General and Abdominal Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #210675

The Department of General and Visceral Surgery at the University Hospital Frankfurt deals with the treatment of all general and visceral surgical diseases and performs surgery to transplant liver, kidney and pancreas.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 23624.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of General, Visceral and Tumor Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #210993

The Department of General, Visceral and Tumor Surgery deals with the surgical treatment of benign and malignant diseases. The focus is on surgery for cancers of esophagus, stomach, small and large intestine, liver, gall bladder, pancreas and thyroid.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificate

Price 20366.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of General, Abdominal and Vascular Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #210111

Department for General, Abdominal and Vascular Surgery at the University Hospital Charite Berlin treats sicknesses in general, visceral surgery and other surgical areas.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 28984.00

Academic Hospital Cologne-Holweide

8.9/10 from 32 Votes

Department of General, Abdominal and Trauma Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #219167

With a team of 15 physicians having different surgical specialties, the Department of General, Abdominal and Trauma Surgery at the Academic Hospital Cologne-Holweide covers the entire spectrum of general and visceral surgery (abdominal surgery). The Department has four sections with 120 beds.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 20331.00

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of General and Abdominal Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #216397

The team of experienced general and visceral surgeons covers the entire range of diagnosis and first-rate modern general and visceral surgery for diseases of the abdominal cavity (the entire gastrointestinal tract, liver, the gall bladder, pancreas gland, spleen, peritoneum), endocrine organs (thyro...


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 16795.00

Alfried Krupp Hospital in Essen-Steele

7.3/10 from 40 Votes

Department of General and Abdominal Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #216035

A team of experienced specialists in the field of general and visceral surgery provides the full range of services in diagnosis and treatment of all the surgical diseases of the abdominal cavity (the whole gastrointestinal tract, liver, gall bladder, pancreas, spleen, peritoneum), endocrine organs (...


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 16801.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of General, Abdominal, Vascular and Pediatric Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #223733

The Department of General, Abdominal, Vascular and Pediatric Surgery (Department of Surgery I) covers the entire spectrum of general and abdominal surgery. There are two specialized Sections of Vascular and Pediatric Surgery. The Department offers the whole range of top-class surgical services.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 20699.00

Hannover Medical School

9.8/10 from 43 Votes

Department of General, Abdominal and Transplant Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #245003

Clinic for general, abdominal and transplant surgery at the Medical University of Hanover offers comprehensive care for surgical treatment of benign and malignant diseases of the entire abdominal cavity.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 20107.00

Academic Hospital Neuperlach

9.8/10 from 11 Votes

Department of General and Abdominal Surgery, Endocrine Surgery and Coloproctology

Resection of Neuroblastoma (ganglioneyroblastoma) #204509

The department of general and abdominal surgery, endocrine surgery and coloprotology treats patients with surgical diseases of the organs of the abdominal cavity, the abdominal wall, and treated the anal region and endocrine organs (thyroid, parathyroid and adrenal glands).


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 23657.00

Marienhaus Klinikum St. Elisabeth Neuwied

9.8/10 from 23 Votes

Department of General, Visceral and Vascular Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #292318

The Department of General, Visceral and Vascular Surgery at the Marienhaus Klinikum St. Elisabeth Neuwied provides the range of services, starting from the treatment of inguinal hernia up to a comprehensive tumor surgery. The Department maintains cooperation with other disciplines in all fields of its activity.


Duration 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Neuwied

Price 18468.00

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