Tellez-Zarate Maximiliano, Meza-Hernandez Javier, Jimenez-Fuentes Edgardo
Department of General and Endoscopic Surgery, Hospital General Dr. Manuel Gea González, Calzada de Tlalpan 4800, Mexico City 14090, Mexico.
Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico City 04510, Mexico.
J Surg Case Rep. 2024 Mar 15;2024(3):rjae156. doi: 10.1093/jscr/rjae156. eCollection 2024 Mar.
Ganglioneuroma, a rare benign neuroblastic tumor, typically arises in the posterior mediastinum, but it can be found in the anterior mediastinum and thymus. Predominantly affecting the young, these asymptomatic tumors are often discovered incidentally through imaging. In our reported case, a 44-year-old woman post-hysterectomy with persistent jaundice was diagnosed with a neuroganglioma in the right posterior mediastinum via a computed tomography (CT) scan. Thoracotomy and resection revealed a 10-cm neuroganglioma untangled from mediastinal planes. Post-surgery, chylothorax emerged, which was managed through a 5-day fasting approach. Thoracic neurogangliomas, rare and often asymptomatic, demand meticulous diagnosis, emphasizing imaging and histopathology, with postoperative vigilance for complications.
神经节神经瘤是一种罕见的良性神经母细胞瘤,通常发生在后纵隔,但也可出现在前纵隔和胸腺。这些无症状的肿瘤主要影响年轻人,常通过影像学检查偶然发现。在我们报道的病例中,一名44岁子宫切除术后持续黄疸的女性通过计算机断层扫描(CT)被诊断为右后纵隔神经节神经瘤。开胸手术切除发现一个10厘米的神经节神经瘤,与纵隔平面无粘连。术后出现乳糜胸,通过5天禁食方法进行处理。胸段神经节神经瘤罕见且常无症状,需要细致诊断,强调影像学和组织病理学检查,并在术后警惕并发症。