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Nutritional management of chylous leakage following surgery for high-risk neuroblastoma in a toddler
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  • Amanda Casirati,
  • Giulia Mulazzani,
  • Roberto Luksch,
  • Carlo Morosi,
  • Davide Biasoni,
  • Serena Della Valle
Amanda Casirati
Fondazione IRCCS Istituto Nazionale dei Tumori

Corresponding Author:amandacasirati@gmail.com

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Giulia Mulazzani
Fondazione IRCCS Istituto Nazionale dei Tumori
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Roberto Luksch
Fondazione IRCCS Istituto Nazionale dei Tumori
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Carlo Morosi
Fondazione IRCCS Istituto Nazionale dei Tumori
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Davide Biasoni
Fondazione IRCCS Istituto Nazionale dei Tumori
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Serena Della Valle
Fondazione IRCCS Istituto Nazionale dei Tumori
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Abstract

Neuroblastoma is the most common extracranial solid tumour in preschool-aged children, with a median age of onset of 2 years. The most frequent site of occurrence is retroperitoneum. An extensive surgical resection is often needed and is an important tool in the management of this disease even in metastatic patients. We describe the nutritional management of a chylous leakage occurred in a toddler with metastatic neuroblastoma after its surgical resection. A multimodal approach including a-lipidic diet and parenteral nutrition allowed both chylous fistula closure and specific nutritional requirements coverage without impairment of neither oncological treatment following surgery nor child's growth.