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Neuroblastoma Stage 4: Hematopoiesis Masquerading as Metastasis
Extramedullary hematopoiesis is production of blood cells outside bone marrow which occurs in a variety of disorders including myelofibrosis. We present a 15 month old child with stage 4 neuroblastoma with secondary myelofibrosis which resulted in intracranial extramedullary hematopoiesis, posing a diagnostic and therapeutic dilemma.
This was resolved with a sulfur colloid isotope scan which confirmed extramedullary hematopoiesis and not a progressing metastasis. This helped us continue therapy with curative intent. To the best of our knowledge we did not come across any report of neuroblastoma with myelofibrosis and intracranial extramedullary hematopoiesis mimicking progression of metastasis.
An Unusual Case of Intraparotid Facial Nerve Schwannoma
Robotic posterior pelvic exenteration for locally advanced rectal cancer: Video vignette
Aberrant Renal Vessels
Cytoreductive Surgery and Peritonectomy Procedures
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