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It is often a task to take a social security disability as the process is very complex and confusing . Many citizenry who restrict for a social surety disablement are rejected due to deficiency of proper paperwork , so they involve to hire an lawyer and societal security special agent to complete the task . There are yet another radical of masses who stipulate for social certificate welfare but are incognizant of it.(1 )
Is Neuroblastoma A Disability & Can You Claim Disability Benefits?
The fiscal stress due to several diseases and disabilities can be reduced by the recompense and benefits received by the Social Security Administration . Elders and child are all eligible for disability benefits furnish they are suffer from a disability that can be claimed for a benefit . Neuroblastoma that mostly affects nipper is one such disability for which parent of children suffer from neuroblastoma can exact a disability benefit.(1 )
The qualification for disablement benefits may take from calendar week , calendar month to years to clear . However , Social Security Administration realizes that child tolerate from neuroblastoma require faster processing of their title ; therefore , they have included it in Social Security Administration Compassionate Allowances guidelines . This means that nestling suffer from neuroblastoma can get approved for disability benefits at a truehearted rate and even within week rather than waiting for months to old age for gaining impairment benefits.(1 )
Neuroblastoma is a heterogeneous disease that consists of a tumor of the likeable nervous system that is derived from neuronal crest cells . It is the most common extracranial tumour affecting the children . Approximately , 700 unexampled cases are diagnose per year in the United States . It comprises about 8 % of all pediatric tumors diagnosed in youngster < 15 age of age and account for approximately 15 % of all paediatric deaths junior-grade to genus Cancer . The heterogeneous nature of the disease lie in the fact that the tumor exhibit wide-ranging behaviour from self-generated regression , maturation , and aggressive phenotype with or without therapy . The tumor also shows wretched reaction and backsliding to current intensive multimodal therapy.(2 )
Approximately 90 % of the cases are diagnose before the eld of 5 year , 30 % are diagnose within the first year . The presentment of the tumor is rare in adolescence and maturity and when it does gift in this age radical the forecast is poorer . The 5 - year endurance rate of patient with neuroblastoma has improved in the last 30 long time from 52 % to 74 % . The selection pace is in force for the low - risk radical that is up to 92 % , whereas the 5 - year survival for the gamey - risk group is around 20 % . This is due to the fact that the chance of backsliding in the mellow - jeopardy group is about 50 - 60%.(3 )
Clinical Presentation Of Neuroblastoma
The clinical display of the tumor depend on different variable such as the locating of the tumor , sizing , degree of spread , effects from catecholamine secernment , and symptom due to paraneoplastic syndromes . The most common location of the tumor is the abdomen that accounts for 65 % of all neuroblastomas and 50 % of all abdominal tumors are found in the bulb of the adrenal secretory organ . Other locations admit chest ( 20 % ) , pelvis ( 5 % ) , neck ( 5 % ) , and 1 % have no detectable primary location.(3 )
Although many patient role are asymptomatic , the I with symptom present with constitutional symptoms ( fever , malaise , weight departure ) , pain , enlarging mass , abdominal distension , lymphadenopathy , respiratory difficulty due to densification by neoplasm or hepatomegaly . Pelvic tumor can go to constipation or urinary problems , thoracic tumors can induce trouble eating or breathing and sometimes thoracic exit syndrome . Cervical tumors can lead to Horner ’s syndrome and extradural extension of the tumor can lead to neurological deadening and paralysis.(3 )
35 % present with regional lymph node metastasis at the clip of diagnosing . Other metastatic sites admit ivory substance , liver , bone , orbits ( pass to proptosis , periorbital swelling ) , and hide ( blueberry muffin syndrome ) . Due to the ability of the tumors to secrete catecholamines , patients may experience early - onset hypertension and tachycardia and may even direct to paraneoplastic syndromes.(3 )
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