Aims: Risk stratification as per the International Neuroblastoma Risk Group (INRG) stratification is important for management of neuroblastoma. INRG incorporates various parameters including histological category as per the International Neuroblastoma Pathology Classification (INPC) and amplification, which were evaluated in fine needle aspiration biopsy (FNAB) samples of neuroblastoma patients to ascertain their impact in our population.

Methods: This was a retrospective study including 60 neuroblastoma cases diagnosed on FNAB, staged and stratified by INRG. Mitosis Karyorrhexis Index (MKI), INPC morphological category and status by fluorescence in situ hybridisation (n=46) were evaluated and correlated to outcome.

Results: The mean age was 29 months (21 days to 9 years) with 27 and 33 children
Conclusion: FNAB is a complete modality for diagnosing neuroblastoma and providing all information required for risk stratification as per INRG including MKI, amplification, INPC category. Our cohort with predominant high-risk neuroblastoma cases highlights regional variation.

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http://dx.doi.org/10.1136/jclinpath-2022-208177DOI Listing

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