STAGE IVN NEUROBLASTOMA - MRI DIAGNOSIS OF LEFT SUPRACLAVICULAR VIRCHOWS NODAL SPREAD

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.