Table 1.
Patient demographics and tumor profiles
Patient no | Sex | Age at initial neuroblastoma diagnosis | INSS stage at initial presentation | INRGSS stage | MYCN amplification | 1p deletion | Primary tumor site | Macroscopic complete resection | Pathological findings of resected metastasis | Classification |
---|---|---|---|---|---|---|---|---|---|---|
1 | m | 6 mo | 4 | M | No | No | Left adrenal gland | Yes | Penile metastasis: 10 g heavy nodular soft tissue excidate, 4.2 × 2.2 × 1.9 cm manifestation of differentiating neuroblastoma. No evidence of necrosis. Low mitotic and karyorrhexis index according to INPC classification | Hughes: Neuroblastoma 1a. Regression grade 4. Differentiation grade 2 |
2 | m | 2 y 6 mo | 4 | M | No | No | Left adrenal gland | Yes | Ulnar bone metastasis: 8.6 × 3.1 × 1.6 cm soft tissue excidate. Soft tissue manifestation of neuroblastoma with approximately 90% tumor viability | Hughes: Neuroblastoma grade 1a. Regression grade 4. Differentiation grade 2 |
3 | w | 6 y 2 mo | 4 | M | Yes | No | Right adrenal gland | Yes | Pancreatic metastasis: 1.1 cm diameter manifestation of the Lineuroblastoma, removed in sano, approximately 50% vital. The margins are tumor-free. Poorly differentiated, low stroma neuroblastoma with low mitosis and karyorrhexis index according to INPC with severe pleomorphism, partly in the form of pancreatic, liver and lymph node metastases, with hemangio- and lymphangioinfiltration. Liver metastasis: 80% vital, predominantly increased mature imposing compared to primary tumor | Hughes: Neuroblastoma grade 3. Regression grade 4. Differentiation grade 4 |
INSS International Neuroblastoma Staging System, INRGSS International Neuroblastoma Risk Group Staging System