Ozan KARATAĞ, Tarık AKMAN, Betül KIZILDAĞ, Timuçin ALAR, Şule KOŞAR, Murat COŞAR

A case of posterior mediastinal ganglioneuroma: the ımportance of preoperative multiplanar radiological imaging

Ganglioneuromas are mostly seen in adolescents and young adults and they are neurogenic tumors originating from sympathetic ganglions with a be- nign histology. Although ganglioneuromas are benign, the treatment is surgical as they can cause pain or compression symptoms, can be locally aggres- sive and can lead to cord compression. We present a young adult female with a ganglioneuroma of the right posterior mediastinum who presented with lower back pain, together with the clinical features, Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) findings, differential diagnosis tips and their contribution to surgical planning.

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1. Lee JY, Lee KS, Han J, Yoon HK, Kim TS, Han BK, et al. Spectrum of neurogenic tumors in the thorax:CT and pathologic findings. J Comput Assist Tomogr 1999;23:399-406. [CrossRef]
2. Geoerger B, Hero B, Harms D, Grebe J, Scheidhauer K, Berthold F. Metabolic activity and clinical features of primary ganglioneu- romas. Cancer 2001;91:1905-13. [CrossRef]
3. Strollo DC, Rosado-de-Christenson ML, Jett JR. Primary medias- tinal tumors. Part II:Tumors of the middle and posterior mediasti- num. Chest 1997;112:1344-57. [CrossRef]
4. Rha SE, Byun JY, Jung SE, Chun HJ, Lee HG, Lee JM. Neurogenic tumors in the abdomen:tumor types and imaging characteristics. Radiographics 2003;23:29-43. [CrossRef]
5. Kumar A, Kumar S, Aggarwal S, Khilnani GC. Thoracoscopy:the preferred approach for the resection of selected posterior medi- astinal tumors. J Laparoendosc Adv Surg Tech A 2002;12:345-53. [CrossRef]
6. Shimada H, Ambros IM, Dehner LP, Hata J, Joshi VV, Roald B, et al. The international neuroblastoma pathology classification (the Shimada system). Cancer 1999;86:364-72. [CrossRef]
7. Shields TW, Reynolds M. Neurogenic tumors of the thorax. Surg Clin North Am 1988;68:645-68.
8. Enzinger FM, Weiss SW. Pirimitive neuroectodermal tumors and related lesions. In:Enzinger FM, Weiss SW, editors. Soft tissue tu- mors, 3rd edn. St. Louis, MO:Mosby, 1995;929-64.
9. Forsythe A, Volpe J, Muller R. Posterior mediastinal ganglioneu- roma. Radiographics 2004;24:594-7. [CrossRef]
10. Ko SM, Keum DY, Kang YN. Posterior mediastinal dumbbell gan- glioneuroma with fatty replacement. Br J Radiol 2007;80:e238-40. [CrossRef]
11. Kato M, Hara M, Ozawa Y, Shimizu S, Shibamato Y. Computed tomog- raphy and magnetic resonance imaging features of posterior medias- tinal ganglioneuroma. J Thorac Imaging 2012;27:100-6. [CrossRef]
12. Aughenbaugh GL. Thoracic manifestations of neurocutaneous diseases. Radiol Clin North Am 1984;22:741-56.