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[Ganglioneuroma detected in a patient over age 60]
M Hadase1, T Arimoto, H Kuwahara
1Department of Respiratory Medicine, Kyoto Second Red Cross Hospital 355-5, Haruobi-cho, Kamanza-dori, Marutamachi-agaru, Kamigyo-ku, Kyoto 602-8026, Japan.
Insights
A rare adult-onset ganglioneuroma was diagnosed in a 67-year-old woman presenting with a mediastinal mass. This case suggests ganglioneuroma should be considered in older adults with mediastinal tumors.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Ganglioneuromas are typically diagnosed in children, with adult onset being uncommon.
- Mediastinal tumors require accurate diagnosis for appropriate treatment.
Observation:
- A 67-year-old woman presented with an abnormal shadow on medical examination.
- Chest radiography revealed an upper right mediastinal mass.
- Further imaging (CT, MRI) and bronchofiberscopy suggested a mediastinal tumor.
Findings:
- Surgical intervention led to the histopathological diagnosis of ganglioneuroma.
- This diagnosis is unusual given the patient's age.
Implications:
- The findings suggest that ganglioneuroma should be included in the differential diagnosis for mediastinal tumors in elderly patients.
- This expands the known demographic for this rare tumor type.
Abstract:
We report a case of ganglioneuroma in a 67-year-old woman who presented with an abnormal shadow at a medical examination. She was admitted and chest radiography disclosed a mass in the upper right mediastinum. We suspected a mediastinal tumor after chest CT, chest MRI and bronchofiberscopic examination, and so surgical treatment was performed. The histopathological diagnosis was ganglioneuroma. Ganglioneuroma is thought of as a children's disease and adult onset is rare. We reasoned that ganglioneuroma should be included among the mediastinal tumors in patients over 60.
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