When is inpatient care indicated for the treatment of pediatric neuroblastoma?

Updated: Oct 09, 2017
  • Author: Norman J Lacayo, MD; Chief Editor: Max J Coppes, MD, PhD, MBA  more...
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Answer

The following are aspects of further inpatient care in patients with neuroblastoma:

  • Children with neuroblastoma are admitted to the hospital to expedite the diagnostic workup when unstable or significantly symptomatic.

  • In an asymptomatic child, workup can be performed in the outpatient setting.

  • A central line is commonly placed when biopsy or resection is scheduled in intermediate- or high-risk patients.

  • A pediatric oncologist and surgeons with expertise in managing childhood malignancies perform the initial evaluation.

  • Other subspecialists, such as neurosurgeons or radiation oncologists, may participate in patient care, especially in cases of cord compression.

  • Once the diagnosis is established and the staging workup is completed, the patient and family are instructed on the diagnosis and therapeutic options.

  • Once the treatment plan is developed, chemotherapy is administered, usually in the inpatient setting.

  • Following completion of the treatment cycle, patients are discharged home with detailed instructions for home care and with outpatient follow-up.


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