Thoracoscopic tumour resection was performed following 4 cycles of chemotherapy.
HISTOLOGY
MACROSCOPIC DESCRIPTION: Well demarcated grey-brown variegated and septated tumour with diffuse mottling with yellow white calcification.
MICROSCOPIC DESCRIPTION: Right thoracic neuroblastoma. An intermixed ganglioneuroblastoma is present. Schwannian stroma containing sheets of aggregated ganglion cells, with numerous nests and areas of immature neuroblasts within islands of neuropil. Widespead calcification is present. Areas of necrosis involving approximately 10 to 15% of the total tumour volume.
SUMMARY: Right thoracic neuroblastoma: Post treatment intermixed ganglioneuroblastoma.