This week we are taking a look at neuroblastoma, a childhood cancer, and finding out how stem cells could help.

Neuroblastoma is a cancer which develops from nerve cells called neuroblasts and is most prevalent in very young children with 90% of all cases being diagnosed in children under the age of 5, neuroblastoma in children over the age of ten is very rare. ย Fortunately childhood cancer is incredibly rare however, of the cancers usually diagnosed in infants neuroblastoma is the most common [1].

Diagnosing neuroblastoma early in its development can be difficult as initial symptoms are common ones such as aches, pains, tiredness, loss of energy and constipation [2]; common issues in infancy. Other signs can includeย :

โ€ขa lump in the neck

โ€ขbone pain and difficulty walking, if the bones are affected

โ€ขnumbness, weakness or loss of movement in the childโ€™s lower body, if the cancer has affected the spinal cord

โ€ขpale skin, bruising, bleeding and frequent infections, if the cancer has affected the bone marrow

โ€ขbluish lumps in the skin and the appearance of “black eyes” [2]

There are several stages used to classify the diagnosis of neuroblastoma and some may be described as high-risk. ย High-risk neuroblastoma is particularly difficult to treat and in cases where other treatments are unlikely to be successful an autologous stem cell transplant may be used [3]. ย Autologous stem cell transplants use the patientโ€™s own stem cells and could be sourced from the bone marrow, peripheral blood or cord blood.

The prognosis of neuroblastoma varies according to the stage at which it is diagnosed. ย For low risk neuroblastoma the 5 year survival rate is higher than 95% while for high risk neuroblastoma the 5 year survival rate is 40-50% [4].

As with all cancers early diagnosis is important to improving the chance of successful treatment and survival. ย If you are concerned at all about your childโ€™s health please visit your GP in the first instance, however,ย it is unlikely that a diagnosis of neuroblastoma will be given.

[1]ย http://www.cancer.org/cancer/neuroblastoma/detailedguide/neuroblastoma-key-statistics

[2]ย http://www.nhs.uk/conditions/neuroblastoma/Pages/Introduction.aspx

[3] http://www.cancer.org/cancer/neuroblastoma/detailedguide/neuroblastoma-treating-high-dose-chemo-radiation

[4] http://www.cancer.org/cancer/neuroblastoma/detailedguide/neuroblastoma-survival-rates

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