title: [Differential diagnostic and therapeutic problems in a neuroblastoma patient with hypertension].
abstract: A 2 1/2 year old dystrophic girl with polyuria and polydipsia was found to have an arterial hypertension, increased catecholamines in serum and urine, and a suprarenal tumour was diagnosed by ultrasonic scan. By means of histology and staging a neuroblastoma grade 3 was revealed. The sonography and Iodine-benzyl-guadinin-scintigraphy gave the clearest information about the tumour. Before operating it is necessary to stabilize the blood pressure at a normal level with alpha and beta blocking substances, in order to reduce the risk of an intraoperative hypertonic crisis and a vasodilative shock after tumour extirpation.
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000601:surgery; D000315:Adrenalectomy; D002395:Catecholamines / Q000097:blood; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D009447:Neuroblastoma / Q000175:diagnosis* / Q000601:surgery; D010673:Pheochromocytoma / Q000175:diagnosis; D014463:Ultrasonography
chemical_list: D002395:Catecholamines
vernacular_title: Differentialdiagnostische und therapeutische Probleme bei einem Neuroblastompatienten mit Hypertonie.