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Congenital Neuroblastoma and Hyperplasia of Islets of Langerhans in an Infant

at birth, was born spontaneously at 40 weeks of gestation. Obvious at birth were marked abdominal distention and swelling of the left submandibular region. The 29-year-old non-diabetic mother had been attending the antenatal clinic regularly, and received neither drugs nor radiation. Her three previous pregnancies were uncomplicated, with three daughters living and well. Repeated tests of her urine never showed any sugar. The infant’s respiratory rate was 76 per minute. The liver at birth extended 7 cm below the