A 15-year-old boy with neuroblastoma associated with Poland syndrome i
s presented. He was admitted with a 2-month history of progressive bac
k pain and a 3-day history of weakness of the lower extremities, encop
resis and enuresis. On physical examination, in addition to paraplegia
, absence of the pectoralis major muscle was diagnosed on the right si
de of his chest. A large heterogeneous mass in the right side of the t
horax was revealed on computerized tomography. Neuroblastoma was diagn
osed on histopathological analysis of the mass. To the authors' knowle
dge this is the first case of neuroblastoma associated with Poland syn
drome in the literature.