TITLE:
A Rare Tumor in a Rare Location: Ganglioneuroma
AUTHORS:
Faisal El Mouhafid, Abderrahmane Hajoujji, Ait Ali Abdelmounaime, Aziz Zentar
KEYWORDS:
Tumor, Adrenal Glands, Gangioneuroma
JOURNAL NAME:
Surgical Science,
Vol.13 No.6,
June
30,
2022
ABSTRACT: Ganglioneuroma is a rare benign tumor Neuronagliomas of the adrenal
gland are a rare pathology. Therefore, this case will be of interest to
urologists, surgeons, oncologists, and pathologists. Located in the adrenal gland (20%), along the
sympathetic chain, and
particularly in the posterior mediastinum (40%)
and the retroperitoneum (30%). Ganglioneuroma poses a positive diagnostic and
therapeutic problem. We report the case of a patient aged 48 admitted for pain in the right hypochondrium. He had
no significant past medical or surgical history. On a physical examination, there were no noticeable findings except for mild
tenderness and a mass on palpation. He underwent abdominal CT, which showed a relatively homogenous
right adrenal tumor measuring. Endocrine
work-up including urine catecholamine and cortisol levels was normal. Due to
the tumor size and with consideration of the differential diagnosis of a
malignant lesion, we
elected to operate on the patient. Right adrenalectomy was performed, with no
related complications. The
final histopathologic report revealed adrenal ganglioneuroma. Although benign, the ganglioneuroma can
present malignant aspects, in particular, CT scans and biological that can mislead the
clinician, so histology remains the examination of choice for making the
diagnosis.