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송주형 ( Ju Hyung Song ),예병덕 ( Byong Duk Ye ),윤용식 ( Yong Sik Yoon ),김미정 ( Mi Jung Kim ),양동훈 ( Dong Hoon Yang ),정기욱 ( Kee Wook Jung ),김경조 ( Kyung Jo Kim ),변정식 ( Jung Sik Byeon ),명승재 ( Seung Jae Myung ),양석 대한장연구학회 2011 Intestinal Research Vol.9 No.1
Ganglioneuromas of the gastrointestinal tract are rare, but have an established association with genetic disorders, such as the multiple endocrine neoplasia (MEN) syndrome (type 2b) and neurofibromatosis (type 1). However, solitary ganglioneuromas are not associated with an increased risk for MEN 2b, neurofibromatosis type 1, or any other systemic conditions. Ganglioneuromas of the gastrointestinal tract have been reported to predominantly involve the colon and rectum, and are thereby occasionally detected during colonoscopy or surgery. Although there are no characteristic symptoms of solitary ganglioneuromas, symptoms can be induced by solitary ganglioneuromas, such as abdominal pain, bleeding, or obstruction, depending on the location and size. Herein we report a case of a solitary ganglioneuroma of the ileum. A 34-year-old man sought evaluation at our hospital for anemia. The medical and family histories were benign and there was no history of genetic disorders. The evaluation for anemia revealed iron-deficiency anemia and CT enterography revealed a single mass in the ileum. Laparoscopic resection of the lesion was performed and the pathologic examination confirmed an ileal ganglioneuroma. (Intest Res 2011;9:46-50)
김철,김용각,김성진 대한악안면성형재건외과학회 2004 Maxillofacial Plastic Reconstructive Surgery Vol.26 No.5
Ganglioneuroma is a rare benign tumor and it is thought to arise from the ganglia of the sympathetic or parasympathetic nervous system. This tumor most commonly presents in patients younger than 20 years of age and is seen in the thorax, including posterior mediastinum and in the abdomen, including retroperitoneum. But, ganglioneuroma in the face is exceptional. Ganglioneuroma is slow growing, non-invasive lesion that is often only detectable incidentally as a painless mass or which effects on neighboring structures. The 14-year-old female patient with neuroblastoma was undergone surgical excision due to buccal cheek mass, and the diagnosis of mass was ganglioneuroma. Thus, we report the rare case of ganglioneuroma with literature review.
주동찬,김광하,채철병,이소정,박도윤 대한상부위장관ㆍ헬리코박터학회 2018 Korean Journal of Helicobacter Upper Gastrointesti Vol.18 No.4
Ganglioneuroma of the gastrointestinal tract is a rare tumor that consists of ganglion cells, nerve fibers, and supporting cells of the enteric nervous system. Ganglioneuromas are usually associated with genetic disorders such as the multiple endocrine neoplasia syndrome or neurofibromatosis. Ganglioneuromas of the gastrointestinal tract predominantly involve the colon and rectum, and reports about duodenal ganglioneuromas are few. Herein, we report a case of duodenal ganglioneuroma treated with endoscopic resection. A 56-year-old female patient visited our hospital because of a subepithelial tumor in the second portion of the duodenum. She had no remarkable medical or family history and revealed no history of genetic disorders. Endoscopic ultrasonography and abdominal computed tomography revealed a tumor located mainly in the submucosal layer, without any regional lymph node involvement. Endoscopic resection of the lesion was performed, and the pathological examination confirmed a duodenal ganglioneuroma. (Korean J Helicobacter Up Gastrointest Res 2018;18:271-274)
임상적으로 부신피질암과 갈색세포종으로 오진될 수 있는 부신 신경절세포종 1예
유승희,이동민,엄영실,이시훈,이기영,김병준,김연선,박이병,김광원 중앙대학교 의과대학 의과학연구소 2014 中央醫大誌 Vol.39 No.2
Ganglioneuroma is a rare benign tumor arising from the neural crest tissue of the sympathetic nervous system. The posterior mediastinum and retroperitoneum are the most common locations of ganglioneuroma. In other sites, especially adrenal gland, it has rarely been reported to occur. However, the number of incidentally identified adrenal ganglioneuroma has recently increased because imaging studies such as ultrasonography and computed tomography have become prevalent. This adrenal tumor is usually hormonally silent and patients with adrenal ganglioneuroma are often asymptomatic. We experienced the case of a 51-year-old male patient with an incidentally identified huge adrenal mass. He presented with normal results to endocrine examinations except for episodes of slightly elevated renin and decreased testosteron levels. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) revealed an about 10 cm sized well defined mass in right adrenal gland. Surgical resection was performed for diagnosis and treatment. Histologic examination of the tumor confirmed the diagnosis of adrenal ganglioneuroma. Here, we report a case of incidentally found adrenal ganglioneuroma with review of the literature.
Laparoscopically Resected Composite Pheochromocytoma-Ganglioneuroma
김나래,김태은,이정남,엄영실,정동해,박상희,조현이 대한내분비학회 2011 Endocrinology and metabolism Vol.26 No.4
Composite pheochromocytoma-ganglioneuroma is one of the mixed neuroendocrine-neural tumors composed of pheochromocytoma and other neural crest derivatives. To date, less than 50 cases of composite pheochromocytoma have been reported, and about 70% of the accompanying tumors were ganglioneuromas. Here, we describe six cases of composite pheochromocytoma-ganglioneuromas in five men and one woman, aged 33 to 64. The size of the tumors ranged from 3.0 to 11.0 cm, and four out of the six presented with intermittent onset of hypertension, palpitation, or dizziness. Microscopically, each tumor was composed of large pleomorphic shaped chromaffin cells arranged in the Zellballen patterns characteristic of pheochromocytoma, and they were mixed with clusters of mature ganglion cells and bundles of spindle-shaped Schwann cells characteristic of ganglioneuroma of variable proportions. All were successfully treated laparoscopically, and none were associated with multiple endocrine neoplasm syndrome or neurofibromatosis. Preoperative diagnosis of a composite pheochromocytoma-ganglioneuroma is impossible because of the low incidence rate, and the radiological findings and symptoms are similar to those of typical pheochromocytomas. Although the significance of microscopic detection of the nonpheochromocytoma component from pheochromocytoma has not yet been clarified, microscopic identification of the composite pheochromocytoma-ganglioneuroma is important because cumulative cases are used in an effort to predict the behavior of this composite tumor.
이동욱,최우진,임소덕 대한척추신경외과학회 2017 Neurospine Vol.14 No.3
Presacral ganglioneuromas are extremely rare benign tumors and fewer than 20 cases have been reported in the literature. Ganglioneuromas are difficult to be differentiated preoperatively from tumors such as schwannomas, meningiomas, and neurofibromas with imaging modalities. The retroperitoneal approach for resection of presacral ganglioneuroma was performed for gross total resection of the tumor. Recurrence and malignant transformation of these tumors is rare. Adjuvant chemotherapy or radiation therapy is not indicated because of their benign nature. We report a case of a 47-year-old woman with a presacral ganglioneuroma.
송원일,이문원,한인섭,박영주,한성용,백동훈,이봉은,김광하 대한상부위장관ㆍ헬리코박터학회 2019 Korean Journal of Helicobacter Upper Gastrointesti Vol.19 No.3
Ganglioneuroma is a rare benign tumor originating from the neural crest cells. It occurs most commonly in the retroperitoneum and posterior mediastinum and is often found in the neck or pelvis. It may be detected incidentally or detected by pressure effects on the adjacent structures due to its slow growth. However, some functional tumors may secrete catecholamines and present with some clinical symptoms. Complete surgical excision is the treatment of choice. We describe here a case of a retroperitoneal ganglioneuroma which was removed completely by surgery. We review the literature and discuss the clinical features of a ganglioneuroma.
Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis
Akira Hioki,Kei Miyamoto,Yoshinobu Hirose,Yusuke Kito,Kazunari Fushimi,Katsuji Shimizu 대한척추외과학회 2014 Asian Spine Journal Vol.8 No.1
We report an extremely rare case with bilateral and symmetric dumbbell ganglioneuromas of the cervical spine in an elderly patient. A 72-year-old man came by ambulance to our hospital due to progressive incomplete paraplegia. Magnetic resonance imaging demonstrated bilateral symmetric dumbbell tumors at the C1/2 level. We performed total resection of the intracanalar tumor, aiming at complete decompression of the spinal cord, and partial and subtotal resection of foraminal outside portions. Histopathological examination of the surgical specimen indicated the tumor cells to be spindle cells with the presence of ganglion cells and no cellular pleomorphism, suggesting a diagnosis of ganglioneuroma. Although the surgery was not curative, the postoperative course was uneventful and provided a satisfactory outcome. This is the fourth known case of cervical ganglioneuromas of the bilateral symmetric dumbbell type.