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Combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case

BACKGROUND: Ganglioneuromas are rare peripheral nervous system tumors of neural crest origin. Most are often asymptomatic and incidentally found, but large tumors can cause mass effect. Herein, the authors report a case of a giant ganglioneuroma that arose from the lumbar foramina into the retroperi...

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Autores principales: Deng, Hansen, Habib, Ahmed, Andrews, Edward G., Zhang, Xiaoran, McCarthy, David J., Wei, Zhishuo, Dhupar, Rajeev, Choudry, M. Haroon, Zinn, Pascal O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830412/
https://www.ncbi.nlm.nih.gov/pubmed/36624632
http://dx.doi.org/10.3171/CASE22453
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author Deng, Hansen
Habib, Ahmed
Andrews, Edward G.
Zhang, Xiaoran
McCarthy, David J.
Wei, Zhishuo
Dhupar, Rajeev
Choudry, M. Haroon
Zinn, Pascal O.
author_facet Deng, Hansen
Habib, Ahmed
Andrews, Edward G.
Zhang, Xiaoran
McCarthy, David J.
Wei, Zhishuo
Dhupar, Rajeev
Choudry, M. Haroon
Zinn, Pascal O.
author_sort Deng, Hansen
collection PubMed
description BACKGROUND: Ganglioneuromas are rare peripheral nervous system tumors of neural crest origin. Most are often asymptomatic and incidentally found, but large tumors can cause mass effect. Herein, the authors report a case of a giant ganglioneuroma that arose from the lumbar foramina into the retroperitoneal and thoracic cavities. OBSERVATIONS: A 62-year-old female presented with low back pain, left lower extremity swelling, and increased sensation of an abdominal mass. Surgical treatment options were reviewed with the patient and coordinated care was planned by surgical oncological specialists. The patient opted for multistage exploratory laparotomy for abdominal mobilization, diaphragm resection, and en bloc resection with neuromonitoring. After surgery, the patient experienced significant improvement in symptoms. LESSONS: A combined surgical exposure involving gastrointestinal, thoracic, and neurological surgeons can be important in the safe resection of ganglioneuromas that span multiple body cavities. Hence, a thorough preoperative assessment could help plan surgery accordingly.
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spelling pubmed-98304122023-01-11 Combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case Deng, Hansen Habib, Ahmed Andrews, Edward G. Zhang, Xiaoran McCarthy, David J. Wei, Zhishuo Dhupar, Rajeev Choudry, M. Haroon Zinn, Pascal O. J Neurosurg Case Lessons Case Lesson BACKGROUND: Ganglioneuromas are rare peripheral nervous system tumors of neural crest origin. Most are often asymptomatic and incidentally found, but large tumors can cause mass effect. Herein, the authors report a case of a giant ganglioneuroma that arose from the lumbar foramina into the retroperitoneal and thoracic cavities. OBSERVATIONS: A 62-year-old female presented with low back pain, left lower extremity swelling, and increased sensation of an abdominal mass. Surgical treatment options were reviewed with the patient and coordinated care was planned by surgical oncological specialists. The patient opted for multistage exploratory laparotomy for abdominal mobilization, diaphragm resection, and en bloc resection with neuromonitoring. After surgery, the patient experienced significant improvement in symptoms. LESSONS: A combined surgical exposure involving gastrointestinal, thoracic, and neurological surgeons can be important in the safe resection of ganglioneuromas that span multiple body cavities. Hence, a thorough preoperative assessment could help plan surgery accordingly. American Association of Neurological Surgeons 2023-01-09 /pmc/articles/PMC9830412/ /pubmed/36624632 http://dx.doi.org/10.3171/CASE22453 Text en © 2023 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Case Lesson
Deng, Hansen
Habib, Ahmed
Andrews, Edward G.
Zhang, Xiaoran
McCarthy, David J.
Wei, Zhishuo
Dhupar, Rajeev
Choudry, M. Haroon
Zinn, Pascal O.
Combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case
title Combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case
title_full Combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case
title_fullStr Combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case
title_full_unstemmed Combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case
title_short Combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case
title_sort combined exploratory laparotomy, transpsoas, and thoracic approach to resection of a giant spinal ganglioneuroma: illustrative case
topic Case Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830412/
https://www.ncbi.nlm.nih.gov/pubmed/36624632
http://dx.doi.org/10.3171/CASE22453
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