An 11-cm, Posterior Mediastinal Ganglioneuroma in a 5-year-old Girl

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  • OKAMOTO Yuusuke
    Department of Thoracic and Cardiovascular Surgery, Saga University Faculty of Medicine
  • TEISHIKATA Takashi
    Department of Thoracic and Cardiovascular Surgery, Saga University Faculty of Medicine
  • MIYAHARA Naofumi
    Department of Thoracic and Cardiovascular Surgery, Saga University Faculty of Medicine
  • HIRATSUKA Masafumi
    Department of Thoracic and Cardiovascular Surgery, Saga University Faculty of Medicine

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Other Title
  • 5歳女児に発生した後縦隔神経節細胞腫（長径11cm）の1切除例
  • 5サイ ジョジ ニ ハッセイ シタ アト ジュウカク シンケイセツ サイボウ シュ(チョウケイ 11cm)ノ 1 セツジョレイ

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Abstract

<p>A mediastinal ganglioneuroma is a ganglion-derived, benign tumor that usually occurs in children and young abults aged ≤20 years and is often asymptomatic when discovered. The case of a preschool child with a symptomatic, massive, posterior mediastinal ganglioneuroma is presented. A 5-year-old girl was brought to a local clinic with coughing and fever. Imaging showed a 10-cm, clearly defined tumor in the right posterior mediastinum. Computed tomography, magnetic resonance imaging, and positron emission tomography findings were suggestive of a benign neurogenic tumor, and the symptoms were considered to be due to compression by the tumor. Thoracoscopic-assisted total resection was conducted, and ganglioneuroma was diagnosed. Three years later, there has been no sign of recurrence. Although symptomatic mediastinal ganglioneuroma discovered in young childhood is a comparatively rare disease, it should be considered in the differential diagnosis.</p>

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