Adrenal ganglioneuroma

A case report

Authors

  • Carolina Perdomo Reyes Universidad de la República, Facultad de Medicina, Hospital Maciel, Residente de Cirugía General
  • Cecilia Chambón Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica, Asistente
  • Daniel González González Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica, Profesor titular

DOI:

https://doi.org/10.29193/RMU.36.3.11

Keywords:

GANGLIONEUROMA, ADRENALECTOMY, ADRENAL GLAND DISEASES

Abstract

Introduction: adrenal ganglioneuroma is an exceptional benign tumour which originates from neural crest cells. The study aims to inform about a clinical case of asymptomatic right adrenal ganglioneuroma.
Clinical case: 37-year old patient, female, who consulted for non-specific abdominal pain which, after imaging assessment and functional and hormone test was diagnosed with non-functioning tumour of the right adrenal gland. Upon this diagnosis, adrenalectomy using the conventional retroperitoneal approach was performed, and the pathology study of the piece confirmed the diagnosis of ganglioneuroma.
Discussion: ganglioneuromas are usually asymptomatic and non-functioning, so diagnosis is incidental in 
a large percentage of cases. Others present non-specific symptoms. Preoperative etiological diagnosis is rare, and confirmation is usually after pathology study. Symptomatic tumours over 6cm long have an indication of surgery, as well as those suspicious of malignancy. Prognosis is good, relapses being exceptional.

References

(1) Mylonas KS, Schizas D, Economopoulos KP. Adrenal ganglioneuroma: what you need to know. World J Clin Cases 2017; 5(10):373-7.
(2) Fan H, Li HZ, Ji ZG, Shi BB, Zhang YS. Diagnosis and treatment of adrenal ganglioneuroma: a report of 80 cases. Zhonghua Wai Ke Za Zhi 2017; 55(12):938-41.
(3) Qing Y, Bin X, Jian W, Li G, Linhui W, Bing L, et al. Adrenal ganglioneuromas: a 10-year experience in a Chinese population. Surgery 2010; 147(6):854-60.
(4) Shawa H, Elsayes KM, Javadi S, Morani A, Williams MD, Lee JE, et al. Adrenal ganglioneuroma: features and outcomes of 27 cases at a referral cancer centre. Clin Endocrinol (Oxf) 2014; 80(3):342-7.
(5) Spinelli C, Rossi L, Barbetta A, Ugolini C, Strambi S. Incidental ganglioneuromas: a presentation of 14 surgical cases and literature review. J Endocrinol Invest 2015; 38(5):547-54.
(6) Xie J, Dai J, Zhou WL, Sun FK. Adrenal ganglioneuroma: features and outcomes of 42 cases in a chinese population. World J Surg 2018; 42(8):2469-75.
(7) Li L, Shao J, Gu J, Wang X, Qu L. Adrenal ganglioneuromas: experience from a retrospective study in a Chinese population. Urol J 2014; 11(2):1485-90.
(8) Mackie GC, Shulkin BL, Ribeiro RC, Worden FP, Gauger PG, Mody RJ, et al. Use of [18F] fluorodeoxyglucose positron emission tomography in evaluating locally recurrent and metastatic adrenocortical carcinoma. J Clin Endocrinol Metab 2006; 91(7):2665-71.

Published

2020-07-31

How to Cite

1.
Perdomo Reyes C, Chambón C, González González D. Adrenal ganglioneuroma: A case report. Rev. Méd. Urug. [Internet]. 2020 Jul. 31 [cited 2024 Nov. 21];36(3):325-7. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/564

Most read articles by the same author(s)

1 2 3 > >>