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[Retroperitoneal ganglioneuroma: a case report]
Domenico Lorenzo Urso1, Daniele Vincenzo, Alessandro Curia
1U.O. di Pronto Soccorso, Ospedale Civile V. Cosentino, Cariati. mimmourso71@yahoo.com
Recenti Progressi in Medicina
|February 13, 2009
Summary
Ganglioneuroma, a rare benign tumor from sympathetic nerve cells, is often asymptomatic. This case highlights its incidental discovery in a 14-year-old boy presenting with fatigue, confirmed via imaging and surgery.
Area of Science:
- Oncology
- Pediatric Surgery
- Pathology
Background:
- Ganglioneuroma is a rare, benign tumor originating from immature cells of the sympathetic nervous system.
- This tumor predominantly affects infants and newborns but can occur in adolescents and adults.
- Diagnosis can be challenging due to the typically asymptomatic nature of these tumors.
Observation:
- A 14-year-old boy presented with persistent asthenia (weakness).
- An incidental abdominal mass near the left kidney was discovered during an emergency department visit via ultrasonography.
- Computed tomography (CT) scan revealed a heterogeneous abdominal mass.
Findings:
- Surgical resection and subsequent histopathological examination confirmed the diagnosis of ganglioneuroma.
- The tumor was successfully removed, leading to a definitive diagnosis.
Implications:
- This case underscores the importance of thorough investigation even with non-specific symptoms like asthenia.
- Highlights the role of incidental findings in diagnostic imaging for rare pediatric tumors.
- Emphasizes the effectiveness of surgical resection for confirmed ganglioneuroma cases.