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an important quality improvement given the large proportion of body fluids undergoing hematology evaluation without concurrent cytology reviews. Several countries of the Central America and Caribbean region have been sharing regional neuroblastoma (N treatment guidelines. However, there is no standardization in the diagnosis, subclassification, or tumor biology to aid in the risk stratification of these patients. To examine the histology and assess the accuracy of the local pathology reports; to evaluate the usefulness of manual MYCN
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