2007
DOI: 10.3748/wjg.v13.i14.2129
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Presacral ganglioneuroma: A case report and review of literature

Abstract: Presacral ganglioneuromas are so rare benign tumors that only 17 cases have been reported in the literature. They are abdominal masses growing slowly and differential diagnoses have to be considered. Surgical resection is important for definitive diagnosis because it represents the only therapeutic choice. Because of the benign nature of ganglioneuroma, adjuvant chemo- or radiotherapy is not indicated but regular follow-up is necessary for an early diagnosis of potential local recurrence. We report a case of a… Show more

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Cited by 40 publications
(38 citation statements)
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“…Although ganglioneuromas are mostly nonfunctioning, some show metabolic activity caused by vasoactive peptides and present with such symptoms such as hypertension or diarrhea. The reported symptoms in pelvic ganglioneuromas especially in presacral location are pain, constipation or amenorrhea, but are mostly clinically silent [9]. In our patient, pelvic ganglioneuroma was incidentally detected on abdominopelvic ultrasonography performed to clarify bilateral loin pain.…”
Section: Discussionmentioning
confidence: 60%
See 1 more Smart Citation
“…Although ganglioneuromas are mostly nonfunctioning, some show metabolic activity caused by vasoactive peptides and present with such symptoms such as hypertension or diarrhea. The reported symptoms in pelvic ganglioneuromas especially in presacral location are pain, constipation or amenorrhea, but are mostly clinically silent [9]. In our patient, pelvic ganglioneuroma was incidentally detected on abdominopelvic ultrasonography performed to clarify bilateral loin pain.…”
Section: Discussionmentioning
confidence: 60%
“…The differential diagnosis list of retroperitoneal ganglioneuromas with pelvic extension include neuroblastoma, ganglioneuroblastoma, schwannoma, meningioma, or other cystic lesions [9]. FNA can be used preoperatively, but it usually leads to inconclusive diagnosis.…”
Section: Discussionmentioning
confidence: 99%
“…Ganglioneuromas are frequently localized along the sympathetic chain in the posterior mediastinal, retroperitoneal, adrenal gland and cervical spinal regions (17,18). Other potential locations include the presacrum, thoracolumbar region and bone (19,20). Ganglioneuromas located in the conus medullaris, and associated with syringomyelia, are rare.…”
Section: Discussionmentioning
confidence: 99%
“…En ocasiones pueden secretar polipéptidos intestinalmente vasoactivos, induciendo entonces un síndrome caracterizado por diarrea, hipopotasemia y aclorhidria 28 , o testosterona, lo que conlleva virilizaciones 7 . Se han descrito ubicaciones en cualquier zona del organismo: supratentoriales 3 , cerebelosas 15 , raquídeas 4,8,10,12,13,24 , mediastínicas 27 , retroperitoneales 22 , intestinales 11 o cutáneas 6 . Cuando su localización es cercana a la medula espinal es frecuente la compresión de la misma o la tracción radicular, pudiendo causar dolor, pér-dida de fuerza o trastornos sensoriales en dependencia del nivel mielo-radicular afecto.…”
Section: Discussionunclassified