“…The differential diagnosis is quite broad but must be separated from other pediatric “small round cell” neoplasms such as neuroblastoma, Ewing's sarcoma, rhabdomyosarcoma, desmoplastic small round cell tumor, malignant melanoma, and lymphoma. 14 Recognition of its biphasic morphology features is essential to avoid misdiagnosis. Negative immunohistochemical staining for PGP 9.5, PHOX2B, NKX2.2, FLI1, CD99, desmin, myogenin, SOX10, CD45, and TDT (DNTT) can rule out those possibilities.…”