ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
A case of giant ganglioneuroma
Ali Özdülger 1, Erhan Ayan 1, Oğuz Köksel 1, Adil Güleryüz2, Menderes Erçil 1, Meltem Nuce Nass3, Murat Dikmengil4
1Mersin Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Mersin
2Mersin Üniversitesi Tıp Fakültesi, Beyin Cerrahisi Anabilim Dalı, Mersin
3Mersin Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Mersin
4Mersin Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Mersin
Ganglioneuromas are rare, slow-growing, benign, neurogenic tumors that arise primarily from sympathetic ganglion cells and, less frequently, from the adrenal medulla, sympathetic and peripheral nerves. A 24-year-old woman presented with dyspnea and hemoptysis. Radiologic examination demonstrated a giant mediastinal mass in the left hemithorax. Computed tomography and magnetic resonance imaging revealed a mass occupying nearly all of the left hemithorax, pushing the mediastinal structures to the right. Vascular structures were also noted inside the mass. The diagnosis was made as ganglioneuroma following transthoracic fine needle aspiration biopsy. At surgery, a neurosurgery team first detached the tumor from the spinal cord through a a posterior approach. Then, the mass was totally resected by a left posterolateral thoracotomy. No complications occurred within a follow-up period of five years.
Keywords : Ganglioneuroma/surgery; mediastinal neoplasms/ surgery
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