Case Report
Volume 12 Issue 6 - 2020
Thoracic Ganglioneuroma in a Seven-Year-Old Boy: A Case Report
Arab Abdullah1*, AlMoallem Ahmed1, Alrasheed Rana1, Alharbi Hani2, Alshmasi Mohammed3 and Alqahtani Waleed4
1Department of Spine Surgery, Prince Sultan Military Medical City in Riyadh, Saudi Arabia
2Department of Orthopedic Surgery, King Saud Medical City in Riyadh, Saudi Arabia
3Department of Orthopedic Surgery, Prince Mohammed Bin Abdulaziz Hospital in Riyadh, Saudi Arabia
4Department of Orthopedic Surgery, Armed Forces Hospital South Region, Saudi Arabia
*Corresponding Author: Abdullah Arab, Department of Spine Surgery, Prince Sultan Military Medical City in Riyadh, Saudi Arabia.
Received: May 11, 2020; Published: May 29, 2020




Abstract

Introduction: Thoracic ganglioneuroma is a rare benign tumor arising from the ganglia of the sympathetic nervous system. Most present asymptomatically as an incidental radiographic finding, but some cases present with symptoms.

Case Presentation: A 7-year-old boy presented with dyspnea. Computed tomography and magnetic resonance imaging studies showed a large lesion in the posterior mediastinum extending to the spinal canal at the T3 and T4 levels. An image-guided biopsy confirmed the diagnosis of ganglioneuroma. A two-stage surgical tumor resection performed. The first stage approached the tumor posteriorly and freed the mass from the spinal cord; the second stage debulked the mass anteriorly through a lateral thoracotomy. The patient has improved after surgery in terms of his difficulty in breathing and back to his normal activity. The two-stage surgical resection had no complications. The patient has been followed up clinically and radiologically.

Conclusion: A multidisciplinary approach is highly recommended in large-size tumors. Although complete resection has a favorable outcome in most cases, it may be difficult to achieve this in case of large tumors that are adjacent to vital structures.

Keywords: Ganglioneuroma; Spinal Tumor; Spinal Cord Tumor; Nerve Sheath Tumor; Thoracic Tumor

References

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Citation: Abdullah Arab., et al. “Thoracic Ganglioneuroma in a Seven-Year-Old Boy: A Case Report”. EC Neurology 12.6 (2020): 74-82.

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