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Saturday 22 October 2022

CASE 655: RETROPERITONEAL GANGLIONEUROMA, Dr PHAN THANH HẢI, Dr NGUYỄN KIM HIẾU, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 A 19 year-old female patient with lumbago and periumbilical pain went to Medic Center for ultrasound examination for 10 days.




Abdomen ultrasound detects a calcified mass, colorless signal, close by the vertebral column on left side which  is thought a TB abscess or a retroperitoneal tumor. On vertebral X-ray films there are erosions of the vertebral bodies T 11 and T 12.







MSCT confirms a tissue density mass, well limited, with calcifications inside, # 11x17x7 cm, medium contrast captured.  From under the diaphragm the mass compresses left kidney and soft tissues around and erodes vertebral bodies T11, T 12. It may be a retroperitoneal neurogenic tumor.




Surgery was done  after ten days of diagnosing made and post-op result is a retroperitoneal ganglioneuroma.


Now the patient remains well and no need any other treatment.

REFERENCES
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3. Kiflu W, Negussie T. Ganglioneuroma of the Neck: a case report. Ethiop Med J2017;55:69–71. 2017/11/18. 4. Geoerger B, Hero B, Harms D, et al. Metabolic activity and clinical features of primary ganglioneuromas. Cancer 2001;91:1905–13. https://doi.org/10.1002/ 1097-0142(20010515)91:10<1905::aid-cncr1213>3.0.co;2- 4. 2001/05/11.
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7 . Yorita K, Yonei A, Ayabe T, et al. Posterior mediastinal ganglioneuroma with peripheral replacement by white and brown adipocytes resulting in diagnostic fallacy from a false-positive 18F-2-fluoro-2-deoxyglucose- positron emission tomography finding: a case report. J Med Case Rep 2014;8:345. https://doi.org/ 10.1186/1752-1947-8-345. 2014/10/17.
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