ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Ganglioneuroma Mimicking A Retroperitoneal Sarcoma: Differential Diagnosis
Mahmut KOÇ, MD,a Ömer YOLDAŞ, MD,a Necdet ÖZALP, MD,a Mehmet KILIÇ, MD,a Erdal GÖÇMEN, MD,a Nazile KARAKÖSE, MDa
a5. General Surgery Department, Ankara Numune Training and Research Hospital, ANKARA
Ganglioneuroma is the most common tumour of the sympathetic nervous system in adults. It originates from the neural crest cells. It occurs most commonly in the mediastinum and retroperitoneum. They are highly differentiated benign tumors and are compatible with long term disease free survival even though surgical treatment is unsatisfactory. A 44-year-old female patient was admitted to the hospital with the complaint of upper abdominal pain and 8 kg loss in weigth in last 3 months. Ultrasonography and computed tomography (CT) of the abdomen revealed a retropancreatic mass with a diameter of 6 x 8 cm which was invading the vena cava and displacing the left renal vein anteriorly. Intraoperatively, we observed a large solid mass with a diameter of 10 cm behind the pancreas surrounding inferior vena cava. The mass was in close relation with the left renal vein. The infrarenal vena cava and distal portion of left renal vein were clamped and the tumour resected succesfully. Repair of the vena cava was achieved with lateral venography with 5-0 prolene suture. The left renal vein was anastomosed to the superior mesenteric vein end-to-side with a 5-0 prolene suture. Postoperative period was uneventful and the patient was discharged from the hospital 5 days after the surgery. A control doppler ultrasonography obtained 2 weeks after the operation demonstrated normal appearance of the inferior vena cava and left renal vein.Keywords: Ganglioneuroma, sarcomaTurkiye Klinikleri J Med Sci 2007, 27:802-804
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