Neuroblastomas

Neuroblastomas are tumors of the neural crest derivatives in the adrenal medulla and autonomic nervous system. The incidences of neuroblastomas are higher in children than in adults. However, neuroblastomas are often microscopic in infants and small children, and many regress before they can be clinically diagnosed. When neuroblastomas do not regress, they can become malignant ganglioneuromas, ganglioneuroblastomas, or pheochromocytomas.

Neuroblastomas often consist of cells morphologically identical to migrating neural crest cells - mesenchymal cells that simply fail to differentiate. The tumors are often composed of several neural crest derived tissues within a single tumor: melanocytes, neurons, Schwann cells, and chondroblasts. (Hall, 157)

These tumor cells are neoplastic cells - they are neither embryonic cells nor normal, differentiated adult cells. Diagnosis and detection of these neoplastic neuroblastomas can be confirmed by abnormally high production of catecholamines - which can be detected by the measurement of urinary vinillinemndelic acid, a catecholamine metabolite. More recent research on neuroblastomas has been rewarding. Mice neuroblastomas have been maintained in vivo and in vitro as a tumor cell line; these tumor cells respond to lectins - a tumor promoting agent that has been observed to induce increased neural crest proliferation - via lectin receptors. Thus, neural crest cell division can be manipulated in the lab. (Hall, 159)

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