9-Month-Old Girl with Thoracic Neuroblastoma Encasing the Subclavian Artery, a Case Report |Biomedgrid

Neuroblastoma is the most frequent extracranial tumor in children having 15% of the cases with thoracic location. The manifestation of such a tumor encasing the subclavian vessels is extremely rare. We present in this paper a 9-month-old girl born by Cesarean delivery from a first nonpathological pregnancy, weighing 3500g. At the age of 8 months parents noticed facial asymmetry and decreased temperature of the left upper extremity. After a pediatric neurologist exam, a head, neck, and thorax magnetic resonance imaging (MRI) was made upon which a tumor located in the front and middle mediastinum encasing the left carotid artery and left subclavian artery was found. The tumor was entirely removed but in the course of operation the left subclavian artery was ligated. Histopathology revealed differentiating neuroblastoma.