Quinn Rakesh, Ellis-Clark Jodie
Department of Colorectal Surgery, Nepean Hospital, Derby St, Kingswood, NSW, 2747, Australia.
University of Sydney, Sydney Medical School, Faculty of Medicine and Health, NSW, Australia.
J Surg Case Rep. 2024 Dec 16;2024(12):rjae735. doi: 10.1093/jscr/rjae735. eCollection 2024 Dec.
Ganglioneuromas (GN) are tumours of ectodermal origin, derived from the neural crest cells. Appendiceal GN are extremely rare, with only eight contemporary case reports in the literature. Being benign and indolent, the necessity of resection for GNs is often debated. However, obtaining tissue to confirm the diagnosis can be challenging, frequently leading to surgical resection. We present a case of an 85-year-old male with an enlarging appendiceal nodule diagnosed endoscopically. Further investigation with computed tomography (CT) scan failed to define the pathology. A laparoscopic appendicectomy was performed, which confirmed the diagnosis of appendiceal GN.
神经节神经瘤(GN)是起源于外胚层的肿瘤,由神经嵴细胞衍生而来。阑尾神经节神经瘤极为罕见,文献中仅有8例当代病例报告。由于其为良性且生长缓慢,对于神经节神经瘤是否需要切除常常存在争议。然而,获取组织以确诊可能具有挑战性,这常常导致进行手术切除。我们报告一例85岁男性患者,经内镜诊断为阑尾结节增大。计算机断层扫描(CT)进一步检查未能明确病理。遂行腹腔镜阑尾切除术,确诊为阑尾神经节神经瘤。