Information on COVID-19
Learn more about COVID-19, information about previously scheduled appointments and what you can do to help protect your child and family. View COVID-19 information.
Riley at IU Health Facilities have implemented visitor restrictions to help minimize the spread of COVID-19, flu and other respiratory viruses. View visitor restrictions.
Information on Previously Scheduled Outpatient Appointments
To ensure the health and safety of all our patients and team members during the coronavirus (COVID-19) pandemic, we’re making adjustments to some of our outpatient appointments. View updates to outpatient appointments.
Free Virtual Coronavirus Screenings
IU Health has launched a virtual clinic to offer individuals in Indiana regardless of age free coronavirus (COVID-19) screenings. View screening details.
Información sobre el COVID-19
Obtenga más información acerca del COVID-19, incluyendo las preguntas más frecuentes y lo que puede hacer para ayudar a protegerse y proteger a su familia. Ver información del COVID-19.
Restricciones para visitantes
Las instalaciones de salud de IU Health han implementado restricciones a los visitantes para ayudar a minimizar la propagación del COVID-19, la gripe y otros virus respiratorios. Ver restricciones para visitantes.
Información sobre citas ambulatorias previamente programadas
Para asegurar la salud y la seguridad de todos nuestros pacientes y empleados durante la pandemia del coronavirus (COVID-19), estamos haciendo ajustes en algunas de nuestras citas ambulatorias. Ver actualizaciones de citas ambulatorias.
Exámenes de coronavirus virtuales gratuitos
IU Health ha lanzado una clínica virtual para ofrecer a las personas en Indiana, independientemente de la edad, evaluaciones virtuales para la detección del coronavirus (COVID-19). Ver detalles de la evaluación.
Neuroblastoma is a type of cancer that develops in certain types of nerve cells but often appears first in the nerve-like cells of the adrenal glands, which sit right on top of the kidneys. It can also affect the nerves that surround our spine or nerves in the chest or abdomen. This cancer usually occurs in children, typically those younger than 5 years old.
Although childhood cancer in general is rare, neuroblastoma is one of the most common solid tumors in childhood. Sometimes neuroblastoma is found during a prenatal ultrasound. Prenatal neuroblastoma usually goes away without treatment. Neuroblastoma in older children requires medical treatment. It does not go away on its own.
Symptoms depend on where the mass is located and can vary from child to child. The most common symptoms of neuroblastoma are:
Symptoms can appear early or late depending on the stage of the cancer and age of the child. In very small infants, swelling of the abdomen and difficulty breathing may happen early. In older, bigger children, it may take longer to notice a mass in the belly. Other symptoms such as bone pain and bruising may appear first.
Neuroblastoma affects each patient differently, depending on where it is and how much it has spread. Because neuroblastoma usually develops near the kidneys, many children will have high blood pressure. Additionally, these cancer cells can also cause diarrhea and facial flushing (redness). If neuroblastoma is in the bone marrow, children may have bone pain as well. If the tumor is too close to the spinal cord, the child may have difficulty using his or her arms or legs and may experience weakness or even paralysis.
Although the exact cause of the condition is unknown, neuroblastoma sometimes results from a gene mutation that can be inherited (passed from parent to child). Children with the gene mutation are usually diagnosed at a younger age than those without the gene mutation. However, there does not have to be a genetic mutation to develop neuroblastoma.
A biopsy of tumor tissue is the only way to diagnose neuroblastoma. The tissue sample is then sent for additional testing to find out exactly what kind of cells make up the tumor and if there are certain genetic factors in the cell to help determine prognosis.
In addition to a biopsy, tests may include:
Treatment depends on the stage of the cancer. Prenatally diagnosed neuroblastoma may only need monitoring with doctor visits and ultrasounds until it goes away on its own.
Other patients may only need surgery to remove the tumor. Patients with higher stage neuroblastoma need surgery and chemotherapy. Chemotherapy kills any remaining cancer cells left behind after the surgery.
Stage IV is the highest stage of neuroblastoma and the most difficult to treat. Children with stage IV neuroblastoma may receive a combination of therapies such as:
Visit these websites to learn more about neuroblastoma, its symptoms and treatments.
Riley at IU Health offers a broad range of supportive services to make life better for families who choose us for their children's care.
Riley at IU Health is a member of the Children's Oncology Group Phase 1 & Pilot Consortium, an organization that is dedicated to pediatric cancer research. Ask your child's doctor for more information about our current research on neuroblastoma and available clinical trials.
In addition to our primary hospital location at the Academic Health Center in Indianapolis, IN, we have convenient locations to better serve our communities throughout the state.