A case of neuroblastoma treated with the support of a Child Consultation Center owing to parental refusal for blood transfusion

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  • Kato Masaya
    Department of Pediatrics, Dokkyo Medical University School of Medicine
  • Sato Yuya
    Department of Pediatrics, Dokkyo Medical University School of Medicine
  • Nakayama Koryo
    Department of Pediatrics, Dokkyo Medical University School of Medicine
  • Okuya Mayuko
    Department of Pediatrics, Dokkyo Medical University School of Medicine
  • Fukushima Keitaro
    Department of Pediatrics, Dokkyo Medical University School of Medicine
  • Kurosawa Hidemitsu
    Department of Pediatrics, Dokkyo Medical University School of Medicine
  • Yoshihara Shigemi
    Department of Pediatrics, Dokkyo Medical University School of Medicine

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Other Title
  • 両親の輸血拒否に対して児童相談所の支援により治療を行った神経芽腫例

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Abstract

<p>Blood transfusion is an important adjuvant therapy in treating high-risk neuroblastoma. Before a child can receive a blood transfusion, informed consent must be obtained from a parental authority. If consent is refused for irrational reasons, a court order for cessation of custody can be requested; however, this action causes communication difficulties with the parental authority. This is clearly an undesirable environment for the treatment of a patient with neuroblastoma. An 18-month-old male with high-risk neuroblastoma was admitted to our hospital. His parents refused a blood transfusion for religious reasons. In cooperation with the Child Consultation Center of our hospital, we obtained temporary trust protection rather than a cessation of custody order. Consent for the transfusion was granted by the head of the Child Consultation Center, and no request was made for cessation of custody, enabling the safe treatment of the neuroblastoma while maintaining a good relationship with the patient’s parents.</p>

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