Ganglioneuroma of posterior mediastinum in a pediatric patient: a case report and review of literature
Guzmán-Valderrábano, Carlos; de la Vega-Morales, Lissa Antonieta; Hernández-Saldaña, Raúl; Soto-Ramos, Mario; Hinojos-Gallardo, Luis Carlos
2017, Number 2
2017; 76 (2)
ABSTRACT
Mediastinal tumors in children are rare and account for 3% of total chest surgeries performed in this age group. Neuroectodermal tumors are the leading cause of mediastinal tumors, being the ganglioneuroma the most benign and less frequent with an incidence of 1 in 100,000 children. Most of these tumors are asymptomatic and are diagnosed incidentally although 37% secrete mandelic acid (VMA) and/or homovanillic acid (HVA) causing symptoms such as redness, hypertension or secretory diarrhea. The surgical resection by thoracotomy or thoracoscopy are the elective treatment and diagnosis is made by histopathology examination of the surgical specimen. As a rare tumor presentation, a clinical case report and a literature review is presented.
Otárola D, Quinteros N, Palavecino T, Rostión C. Tumores del mediastino en niños. Revista Pediatría Electrónica 2009;6(2):41-48.
King RM, Telander RL, Smithson WA, Banks PM, Han MT. Primary mediastinal tumors in children. J Pediatr Surg 1982;17(5):512-520.
Lin PC, Lin SH, Chou SH, et al. Ganglioneuroma of posterior mediastinum in a 6-year-old girl: imaging for pediatric intrathoracic incidentaloma. Kaohsiung J Med Sci 2010;26(9):496-501. doi: 10.1016/S1607-551X(10)70078-4.
Akyildz EU, Yalcinkaya U. Thoracic neurogenic tumors: a clinicopathologic evaluation of 42 cases. Neurology Asia 2015;20(1):59-63.
Hopkins H, Gordils A, López J, Mariño C, Amundaray G. Ganglioneuroma: a propósito de un caso. Centro Médico 2004;49(2):94-99.
De Bernardi B, Gambini C, Haupt R, et al. Retrospective study of childhood ganglioneuroma. J Clin Oncol 2008;26(10):1710-1716. doi: 10.1200/JCO.2006.08.8799.
Agarwal KK, Sharma P, Kc SS, Bal C, Kumar R. Giant thoracic ganglioneuroma in a pediatric patient: staging and restaging with 18F-FDG PET-CT. Rev Esp Med Nucl Imagen Mol 2014;33(5):310-311. doi: 10.1016/j.remn.2013.10.005.
Forsythe A, Volpe J, Muller R. Posterior mediastinal ganglioneuroma. Radiographics 2004;24(2):594-597.
Geoerger B, Hero B, Harms D, Grebe J, Scheidhauer K, Berthold F. Metabolic activity and clinical features of primary ganglioneuromas. Cancer 2001;91(10):1905-1913.
Guan YB, Zhang WD, Zeng QS, Chen GQ, He JX. CT and MRI findings of thoracic ganglioneuroma. Br J Radiol 2012;85(1016):e365-e372. doi: 10.1259/bjr/53395088.
Alqoaer KI, Albalawi M, Alnoaiji MS, Khan A. Case report: Mediastinal ganglioneuroma presented as chronic diarrhea in a young Saudi girl. Int J Clin Med 2014;5:420-424.