Ganglioneuroma (GN) is an uncommon, most mature variant of neuroblastic tumors of neural crest origin. Though benign, metastasis is rarely encountered in lymph node, liver, bone, spleen and soft tissues. A six year old female child presented with swelling in the right side of the neck of four and half years duration. Computed Tomography (CT) scan showed mass in the neck extending from base of the skull to the level of C7 vertebral body with multiple enlarged level II lymph nodes bilaterally. The excised mass showed features of GN (Schwannian stroma- dominant) mature type with metastasis in adjacent lymph node. It is important to recognize this entity as the prognosis is excellent following complete excision of primary tumor and the metastatic focus.
Ganglioneuroma, lymph node, metastasis