Presenting features of thoracic neuroblastoma.

Abstract
In a retrospective study carried out at the Royal Hospital for Sick Children, Glasgow [Scotland] for the period 1952-1979, 7 cases of primary thoracic neuroblastoma were identified. The average age at presentation was 2 yr. Respiratory symptoms were the modes of presentation in 2 patients neurological symptoms in 4 and urinary tract symptoms in 1 patient. Dilation of the urinary tract was present in 2 cases and 1/3 had a normal urinary tract but previous infection. After a maximum of 27 yr and a minimum of 20 mo, 5 of the patients remain well. One child died as a direct result of her tumor, the other from an unrelated tumor 25 yr after partial excision of his neuroblastoma. The better prognosis of primary thoracic neuroblastoma and the variability of presentation compared with neuroblastoma in other sites are stressed.