%0 Journal Article %T Neuroblastoma of the Bone and Bone Marrow Without an Apparent Primary Site: Report of 4 Cases With Long %A Heidi V Russell %A John Hicks %A Nino Rainusso %A Rachel Egler %A Victor Seghers %J Pediatric and Developmental Pathology %@ 1615-5742 %D 2019 %R 10.1177/1093526618822597 %X Children with neuroblastoma rarely present with metastatic disease without identifiable primary tumors. We describe the clinical and histopathologic characteristics of 4 patients aged 1, 7, 7, and 11 years with neuroblastoma involving bone or bone marrow without an apparent primary site. One patient presented with a periorbital bone lesion, 1 presented with a distal femoral lesion, and 2 presented with diffuse bone marrow involvement. All tumors were negative for MYCN amplification. All patients were alive without evidence of disease 5 years after completion of multimodality therapy. Patients with neuroblastoma of the bone and bone marrow without an apparent primary site may constitute a unique group characterized by older age at diagnosis, nonamplified MYCN tumors, and good response to treatment %K neuroblastoma %K neural crest tumors %K surg path %K imaging studies %K long-term follow-up %K without an apparent primary site %U https://journals.sagepub.com/doi/full/10.1177/1093526618822597