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The excellent prognosis for patients with localized cervical neuroblastoma is demonstrated by the long‐term survival of six patients over 23 years. Surgical resection was accomplished in all patients with minimal residual tumor in five. Five patients received irradiation. Papillary carcinoma of the thyroid with node metastases developed in two of these patients 11 and eight years after treatment. This high incidence of secondary thyroid carcinoma has prompted reevaluation of the management of cervical neuroblastoma.

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