Toddler with weight loss and respiratory distress

Gross pathology image of thoracic neuroblastoma
Gross pathological image (left) shows a mass which is tan, measuring 12 x 10 x 5 cm in size, with focal areas of hemorrhage and calcification on its exterior. The cut surface of the mass (right) was whitish gray to hemorrhagic with numerous foci of yellow calcification. The “tails” at the superior aspect of the specimen correspond to tumor infiltration of intervertebral neural foramina.

The diagnosis was thoracic neuroblastoma.