Abstract
We report about an 11 month old patient, who presented with progressive supraorbital swelling, periorbital ecchymosis, hepatosplenomegalia and B-symptoms. Neuroblastoma was subsequently diagnosed based on the clinical history, physical examination, laboratory tests and imaging findings. Neuroblastoma is the second most frequent solid tumor in infancy. Clinical symptoms are not specific. The so called "raccoon eyes", as seen in our patient, result from osseous metastasis to the orbits and skull. Periorbital swelling may initially be misinterpreted as child abuse. Prognosis of neuroblastoma depends on various factors including initial tumor staging, tumor biology and the child's age.
Translated title of the contribution | Periorbital ecchymosis - Trauma or tumor? |
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Original language | German |
Pages (from-to) | 811-814 |
Number of pages | 4 |
Journal | Praxis |
Volume | 96 |
Issue number | 20 |
DOIs | |
State | Published - May 16 2007 |
Externally published | Yes |
Keywords
- Child abuse
- Neuroblastoma
- Raccoon eyes
- Radiology
ASJC Scopus subject areas
- General Medicine