Association between congenital cardiovascular malformations and neuroblastoma

Rani E. George, Steven E. Lipshultz, Stuart R. Lipsitz, Steven D. Colan, Lisa Diller

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Objective: We explored the association between neuroblastoma and congenital cardiovascular malformations (CCM), previously described in case reports. Study design: Echocardiogram and chart reviews of a series of 158 patients with neuroblastoma and a control group of 192 children with leukemia were performed. The proportion of patients with CCM in each group was compared. Results: Fourteen of the 70 (20%) patients with neuroblastoma and echocardiography had CCM, compared with 7 of the 192 (3.6%) patients with leukemia with echocardiograms (P = .0001). If all of the patients with neuroblastoma without echocardiograms (n = 88) are considered to have normal cardiac anatomy, this difference remains significant (14 of 158 patients with neuroblastoma have CCM detected [8.9%] versus 7 of 192 patients with leukemia [3.6%]: P = .045). Neural crest-derived CCM were more common in patients with neuroblastoma, detected in 5 of 70 patients with neuroblastoma versus 2 of 192 patients with leukemia (P = .016). Congenital cardiovascular malformations in patients with neuroblastoma were associated with a cancer diagnosis at age less than 1 year and a lower neuroblastoma stage, but there was no association with tumor MFCN amplification. Conclusions: Neuroblastoma and CCM may be associated. We recommend echocardiography for CCM screening in patients with newly diagnosed neuroblastoma.

Original languageEnglish (US)
Pages (from-to)444-448
Number of pages5
JournalJournal of Pediatrics
Issue number4
StatePublished - Apr 2004

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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