Ganglioneuroma masquerading as spinal pain.

Abstract:

OBJECTIVE:To discuss the clinical features of ganglioneuroma and to propose it as a differential diagnosis for a young patient suffering from chronic back pain. CLINICAL FEATURES:A 25-year-old patient suffered from chronic mid-thoracic pain and a history of scoliosis. The physical examination result was unremarkable; thus radiographs were obtained. A posteroanterior and lateral chest radiograph demonstrated a well-defined opacity extending from the region of the left hilum to below the diaphragm. A differential diagnosis of a posterior mediastinal mass was advanced. Computed tomography revealed a homogenous, nonenhancing left posterior mediastinal mass with adjacent posterior rib deformity. Computed tomography (CT)-guided biopsy subsequently defined the mass as a ganglioneuroma. INTERVENTION AND OUTCOME:The mass was surgically resected. Although the patient experienced some postsurgical discomfort, she has fared well. CONCLUSION:Twenty percent of mediastinal tumors are neurogenic, and 10% of neurogenic tumors are ganglioneuromas. In spite of the rarity of this tumor, ganglioneuroma should be considered in the differential diagnosis of young patients suffering from back pain. The diagnosis is important to ascertain because surgical resection is curative and can relieve the symptoms.

authors

Osterhouse MD,Kettner NW,Birrer PT,Mankamyer K

doi

10.1067/mmt.2002.123335

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

184-7

issue

3

eissn

0161-4754

issn

1532-6586

pii

S0161475402149979

journal_volume

25

pub_type

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