Skip to main content
Log in

Avascular necrosis of bone in neuroblastoma treated with combination chemotherapy

  • Short Communications
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

We treated two children with neuroblastoma and during the course of chemotherapy, avascular necrosis of the femoral head occurred. The main pathogenetic factor of this necrosis may be the toxic effect of cyclophosphamide.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abbreviations

VMA:

vanillylmandelic acid

HVA:

homovanillic acid

References

  1. Engels IA, Straus DJ, Lacher M, Lane J, Smith J (1981) Osteonecrosis in patients with malignant lymphoma: A review of twenty-five cases. Cancer 48:1245–1250

    Google Scholar 

  2. Fisher DE, Dickel WH, Holly KE (1969) Histologic demonstration of fat emboli in aseptic necrosis associated with hypercorticonism. Mayo Clin Proc 44:252–259

    Google Scholar 

  3. Harper PG, Trask C, Souhami RL (1984) Avascular necrosis of bone caused by combination chemotherapy without corticosteroids. Br Med J 288:267–268

    Google Scholar 

  4. Ihde DC, DeVita VT (1975) Osteonecrosis of the femoral head in patients with lymphoma treated with intermittent combination chemotherapy. Cancer 36:1585–1588

    Google Scholar 

  5. Obrist R, Hartman D, Obrecht JP (1978) Osteonecrosis after chemotherapy. Lancet 1:1316

    Google Scholar 

  6. Prindull G, Weigel W, Jentsch E, Enderle A, Willert HG (1982) Aseptic osteonecrosis in children treated for acute lymphoblastic leukemia and aplastic anemia. Eur J Pediatr 139:48–51

    Google Scholar 

  7. Prosnitz LR, Lawson JP, Friedlaender GE, Farber LR, Pezzimenti JF (1981) Avascular necrosis of bone in Hodgkin's disease patients treated with combined modality therapy. Cancer 47:2793–2797

    Google Scholar 

  8. Thorne JC, Evans WK, Alison RE, Fournasier V (1981) Avascular necrosis of bone complicating treatment of malignant lymphoma. Am J Med 71:751–758

    Google Scholar 

  9. Wang GJ, Sweet DE, Reger SI, Thompson RC (1977) Fat cell changes as a mechanism of avascular necrosis of the femoral head in cortisone treated rabbits. J Bone Joint Surg 59-A:729–735

    Google Scholar 

  10. Wang GJ, Moga DB, Richemer WG, Sweet DE, Reger SI, Thompson RC (1978) Cortisone induced bone changes and its response to lipid clearing agents. Clin Orthop 130:81–93

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ishii, E., Yoshida, N. & Miyazaki, S. Avascular necrosis of bone in neuroblastoma treated with combination chemotherapy. Eur J Pediatr 143, 152–153 (1984). https://doi.org/10.1007/BF00445806

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00445806

Key words

Navigation