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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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Age: 15 years or older

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Sachsenhausen Hospital Frankfurt am Main

10/10 from 23 Votes

Department of Surgery, Treatment of Overweight and Obesity

Resection of Neuroblastoma (ganglioneyroblastoma) #334059

The Department of Surgery, Treatment of Overweight and Obesity offers a wide range of surgical interventions in the field of oncological surgery, traumatology, orthopedics, proctology, hernia surgery and endocrine surgery.


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

Academic Hospital Asklepios Barmbek Hamburg

10/10 from 23 Votes

Department of General, Abdominal Surgery and Surgical Oncology

Resection of Neuroblastoma (ganglioneyroblastoma) #356586

The Department of General, Abdominal Surgery and Surgical Oncology offers the full range of services in these medical focuses. The department provides high-quality surgical treatment of all abdominal diseases. The surgeons of the department have a huge experience in performing open and laparoscopic interventions.


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

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

University Hospital Cologne

9.8/10 from 82 Votes

Department of General, Abdominal and Tumor Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #210993

The Department of General, Abdominal and Tumor Surgery deals with the surgical treatment of benign and malignant diseases. The focus is on surgery to treat  cancer of the esophagus, stomach, small and large intestine, liver, gallbladder, pancreatic and thyroid cancer.


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

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of General, Abdominal and Vascular Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #335915

The Department of General, Abdominal and Vascular Surgery at the St. Vincentius Clinic offers the entire range of relevant services at the highest level. Along with intestinal and thyroid surgeries, the most important areas of the department are minimally invasive (laparoscopic) and oncological surgery.


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

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of General, Abdominal, Endocrine and Minimally Invasive Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #204025

Beside general surgical primary care, the department of general, abdominal, endocrine and minimally invasive surgery has two specific medical emphases: visceral surgery and endocrine surgery. A separate focus of the department is on the surgery of abdominal oncological diseases.


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

Academic Hospital Neuperlach Munich

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

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Abdominal Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #204643

The Department of Abdominal Surgery in Schwabing diagnoses and treats all kinds of diseases of the organs of the abdominal cavity - conservative, interventional and surgical. Here gastroenterologists, hepatologists and visceral surgeons work hand in hand and guarantee the patient an optimal, interdisciplinary care.


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

University Hospital Muenster

8.8/10 from 78 Votes

Department of General and Abdominal Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #204913

The Department of General and Abdominal Surgery at the University Hospital Muenster ranks among large university surgery centers of Germany. The Department specializes in the treatment of gastrointestinal malignancies (gastrointestinal tract) as well as hormone-producing (endocrine) organs.


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

University Hospital 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

Hannover Medical School

9.8/10 from 43 Votes

Department of General, Abdominal and Transplant Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #245003

The Department of Surgery at the Hannover Medical School offers comprehensive 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

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, Abdominal, Vascular Surgery and Traumatology at the Hospital St. Elisabeth Grevenbroich specializes in abdominal and vascular surgery, as well as in the treatment of victims of accidents.


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

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of General Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #330203

The Department of General Surgery at the Tel Aviv Sourasky Medical Center treats patients requiring both emergent and planned surgery. The Department leads Israel in a broad range of surgical procedures and shows outstanding success rates.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Tel Aviv

Marienhaus Hospital 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

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of General Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #327423

The Department of General Surgery at Rambam Health Care Campus deals with five different focuses. These include surgical oncology, endocrine and general surgery, colorectal and inflammatory bowel surgery, metabolic and advanced laparoscopic surgery, acute care and trauma surgery.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Haifa

Academic Hospital Schlosspark Berlin

9.7/10 from 23 Votes

Department of Surgery

Resection of Neuroblastoma (ganglioneyroblastoma) #281338

The Department of Surgery at the Schlosspark-Klinik in Berlin specializes in abdominal surgery, bowel surgery (Bowel Cancer Center), diverticulitis, bariatric surgery, minimally invasive surgery (e.g., inguinal hernia and removal of the gallbladder). .


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




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