CERVICAL NEUROBLASTOMA IN 11 INFANTS - A TUMOR WITH FAVORABLE PROGNOSIS - CLINICAL AND RADIOLOGIC (US, CT, MRI) FINDINGS

Cervical neuroblastoma, a disease primarily of infants, has a favorabl e prognosis. Eleven patients are reported. Clinical presentations (oth er than mass) included stridor and swallowing problems. Masses when fe lt were commonly mistaken for infectious adenitis. Imaging studies (US , CT, MRI) showed solid masses with vascular displacement and narrowin g; intraspinal extension was absent though extension into the adjacent sites of mediastinum and skull occurred. Horner syndrome was seen in five patients with accompanying heterochromia iridis in one. Five tumo rs had calcification. A high index of suspicion will lead to biopsy an d less delay in diagnosis once a mass is felt or imaged.