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Case Report
Retroperitoneal ganglioneuroma in an adult
1 MBBS, School of Medicine, James Cook University, Townsville, Queensland 4814, Australia
2 MBBS FRACS, HPB & General Surgery Consultant, Department of General Surgery, Townsville University Hospital, Townsville, Queensland 4814, Australia
Address correspondence to:
Madeleine Louise Kelly
Louise Kelly, 1 James Cook Drive, Douglas, Townsville, Queensland 4814,
Australia
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Article ID: 100085Z12MK2021
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Kelly ML, Palamuthusingam P. Retroperitoneal ganglioneuroma in an adult. J Case Rep Images Surg 2021;7:100085Z12MK2021.ABSTRACT
Introduction: Retroperitoneal ganglioneuromas (GNs) are rare, benign neural tumors of the sympathetic nervous system
Case Report: A 57-year-old female presented with a two-week history of recurrent lower left sided back pain. Radiological investigations revealed a large paraaortic mass measuring 67 by 50 mm, extending from the adrenal gland to the mid lower pole of the left kidney, without lymphadenopathy elsewhere. Histopathological examination identified fragments composed of fibrous tissue, little adipose tissue with bland spindled cells and occasional ganglion cells, suggestive of ganglioneuroma. The decision was made for active surveillance over surgical excision.
Conclusion: Due to its rare nature and the nonspecific clinical signs, arriving at a definitive diagnosis remains a challenge for clinicians and no gold standard approach has been suggested.
Keywords: Adult, Diagnosis, Management, Retroperitoneal ganglioneuroma
SUPPORTING INFORMATION
Author Contributions
Madeleine Louise Kelly - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Pranavan Palamuthusingam - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
AcknowledgmentsSpecial thanks to Dr. Peter Kanowski for providing pathology images for this paper.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Madeleine Louise Kelly et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
