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Neuroblastoma in a 6-year-old boy
  1. EC Russell-Jones,
  2. K Iliadis,
  3. C Wynne
  1. Department of Paediatric Oncology, Royal Alexandra Children's Hospital, Brighton, UK
  1. Correspondence to Dr Emma C Russell-Jones, Department of Paediatric Oncology, Royal Alexandra Children's Hospital, Eastern Road, Brighton BN2 5BE, UK; emma.russell-jones{at}hotmail.com

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A previously healthy 6-year-old boy presented to the children's Accident and Emergency Department with right-sided abdominal pain.

On examination, there was a palpable, non-tender abdominal mass, with no lymphadenopathy.

Initial investigations revealed pancytopenia (haemoglobin was 5.7 g/dL, white cell count 3.7 × 109/L, platelets 134 × 109/L) and lactate dehydrogenase 1690 (normal range 240–480) with normal urea and electrolytes/liver function tests. Abdominal ultrasound showed a …

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