LESSER OF TWO EVILS A CASE SERIES ON GANGLIONEUROMAS

Dr Mohanavel, Dr V Rohit Gopinath, Prof J Muthukumaran

Abstract


Ganglioneuroma is the benign counterpart in the spectrum of peripheral neuroblastic tumours. Here I am presenting 4 cases of this rare tumour.1st is a 2 year old female child who came with complaints of fever and abdominal distension of 2 week duration. On Examination of the abdomen there was no mass palpable. USG abdomen done showed a mass arising from the right adrenal gland. CECT abdomen was done which showed a heterogenous mass arising from the right adrenal gland abutting the IVC . Initially a laparotomy and biopsy was done. It was reported as ganglioneuroma .Oncology opinion was got and follow up was done monthly for 3 months . Relaparotomy was done and excision of the tumour was done.2nd child is a 7 year old female child who was brought with complaints of abdominal pain on and off and fever of 2 months duration. On examination of the abdomen there was no mass palpable .USG abdomen done showed an enlarged left para aortic .CECT abdomen done showed an enlarged paraaortic node with necrotic changes .She underwent a laparotomy and excision of the paraaortic mass. HPE was reported as ganglioneuroma. The other 2 cases have been summarised.

 


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