Stage IV neuroblastoma is associated with high mortality; an exception
are patients whose stage IV status includes distant positive nodes, b
ut no skeletal metastases stage IVN neuroblastoma. We describe our exp
erience with preoperative MRI in three patients with extensive abdomin
al neuroblastoma without cortical bony involvement but with unsuspecte
d metastatic involvement to the left supraclavicular (Virchow's) node.
We review findings of left supraclavicular nodal spread in five earli
er cases of IVN neuroblastoma.