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Could severe hemophilia A not worse prognosis in the pediatric oncological setting?
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  • Lidia Costa,
  • Maria Eduarda Couto,
  • Juliana Moutinho,
  • Ana Ferreira,
  • Susana Roncon,
  • Luísa Santos,
  • Eugénia Cruz,
  • Sara Morais
Lidia Costa
Centro Hospitalar Universitário do Porto EPE
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Maria Eduarda Couto
Instituto Portugues de Oncologia do Porto Francisco Gentil EPE
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Juliana Moutinho
Instituto Portugues de Oncologia do Porto Francisco Gentil EPE
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Ana Ferreira
Instituto Portugues de Oncologia do Porto Francisco Gentil EPE
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Susana Roncon
Instituto Portugues de Oncologia do Porto Francisco Gentil EPE
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Luísa Santos
Instituto Portugues de Oncologia do Porto Francisco Gentil EPE
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Eugénia Cruz
Centro Hospitalar Universitário do Porto EPE
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Sara Morais
Centro Hospitalar Universitário do Porto EPE
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Abstract

In spite of existing profuse information regarding hemorrhagic complications of hemophilia, literature is scarce towards the presence of cancer in hemophilia, especially in pediatric patients. There are still many uncertainties concerning these patients’ diagnosis and workup. We report here a rare case of two severe aggressive diseases (neuroblastoma and hemophilia A [HA]) concomitantly present in the same pediatric patient. We highlight that the diagnosis of severe HA did not have a negative impact on the patient’s oncologic course. This case also illustrates the significance of the enriching cooperation among different specialties and hospitals when caring for the same patient.