Brain tumors: Outsite of brain (Neuroblastoma)

Abstract

Chief complaint: Fever, dicreased appetite, skin turned yellow, pain of low part of belly, swollen belly and hydroperitoneum Anamnes: First child of family, born 3200 gr at 16 years of mother, development of body is normal, has not disorder of inheritance, diagnosed with Neuroblastoma in 2019 Anamnes morbi: in 2019.09.19, Arrived to Dornogobi medical center cause by symptom abdominal distention. in 2019.09.19-09.23, indoor treated in Children department of DMC with diagnosis Ileus, Pneumonia of 2 side, Urinary tract infection, Anemia, Cachexia, Immunodeficiency. Then moved to National center for Maternal and Child health of Mongolia for diagnosticate because symptom didn’t disappear. In 2019.09.24, diagnosed after checked up CT, took biopsy. Then did chemotherapy 14 times after lumpectomy. In 2021.03, Oncologist recommended palliative treatment because oncosis again and has not special treatment for antineoplastic Physical examination: General condition is difÏcult, mind is normal, coated tongue, skin turned yellow and dryness, lungs with normal breathing sound of 2 side, heart sounds are normal with regular rhythm, pulse 136 a minut, Spo294%, feels 5-6sm tissue under cicatrix of surgery for palpation, non edema Diagnosis: Neuroblastoma, stage 4, diffused in abdomen Accompanying diagnosis: Anemia, Cachexia, Immunodeficiency Complication: Toxic hepatitis, Hydroperitoneum, Syndrome cholestasis Conclusion: Neuroblastoma is a type of cancer that forms in certain types of nerve tissue. Diagnostic method is CT and tissue biopsy