Ganglioneuroblastoma presenting as dilated cardiomyopathy

Arch Dis Child. 2003 Feb;88(2):162-4. doi: 10.1136/adc.88.2.162.

Abstract

We report an unusual presentation of ganglioneuroblastoma with features of dilated cardiomyopathy in a 22 month old girl. She was admitted with cardiomegaly; during echocardiography a suspicious abdominal mass was detected by chance. Further imaging studies, including abdominal ultrasonography and spiral computed tomography, revealed a solid mass originating in the right adrenal gland. Metabolic studies and pathological findings were compatible with ganglioneuroblastoma. Following tumour removal and supportive therapy for cardiomyopathy, her clinical condition and laboratory findings improved. Although ganglioneuroblastoma with features of dilated cardiomyopathy is rare, because neurogenic tumours may be involved in its development, measurement of catecholamines in children with dilated cardiomyopathy is strongly recommended.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms / complications*
  • Adrenal Gland Neoplasms / diagnostic imaging
  • Cardiomyopathy, Dilated / etiology*
  • Female
  • Ganglioneuroblastoma / complications*
  • Ganglioneuroblastoma / diagnostic imaging
  • Humans
  • Infant
  • Tomography, X-Ray Computed
  • Ultrasonography