“…However, there have been at least seven documented cases of transformation of ganglioneuromas into malignant nerve sheath tumors. 3,5,7,8,11,14 Although malignant transformation involving the spindle cell component of a ganglioneuroma is a rare but proven event, to our knowledge, malignant transformation of the ganglion cell component into neuroblastoma has never been reported. The argument against this theory is that the neuronal component of a ganglioneuroma is presumably composed of mature, well-differentiated, postmitotic ganglion cells that should have lost the capacity to proliferate.…”