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KMID : 1155520080030010055
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Anesthesia and Pain Medicine
2008 Volume.3 No. 1 p.55 ~ p.58
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Tumor Induced Disseminated Intravascular Coagulation
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Kim Hyun-Jung
Kim Dong-Won
Shin Joong-Cheon
Shim Jae-Chul
Suh Jung-Kook
Yi Hyeong-Joong
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Abstract
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Neuroblastoma, relatively common pediatric nervous system malignancy, presents as in various clinical aspects, including mass, pain, fever, weight loss, and infrequently anemia and hepatopathy. Hematologic abnormalities are also brought about according to the disease stage or pancytopenia due to radiation, mainly in the form of coagulopathy. We herein briefly report a rare case of stage IV neuroblastoma accompanied by chronic or subacute disseminated intravascular coagulation in a 5-year-old boy. Despite apparently normal coagulation profiles, we could not conduct routine invasive vascular procedures after induction of general anesthesia because of unexplained bleeding diathesis. Anesthesiologists should be alert to this kind of unexpected but potentially lethal complication and prepare to avoid mishaps.
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KEYWORD
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bleeding diathesis, disseminated intravascular coagulation, neuroblastoma
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