Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 4, Issue 9 | Case Report | Open Access
Hussain Ramzan*
Zahra Zarrinhonar1, Adil Simab2, Muneeb Ur Rahman2, Abdul Azam Khan2, Huda Faisal3, Siffat Ullah2, Manisha Timalsena4 and Hussain Ramzan5*
1St. George’s University in Grenada, Grenada
2Nanchang university China
3People’s university of medical and health sciences, Karachi, Pakistan
4Zainul Haque Sikder Women’s Medical College and Hospital, Dhaka, Bangladesh
5Nishtar Medical University and Hospital, Multan, Pakistan
*Correspondence to: Hussain Ramzan
Fulltext PDFGanglioneuromas (GNs) are uncommon, benign neurogenic tumors that usually present with symptoms due to mass effect. We present a case of a 7-year-old boy with a large posterior mediastinal GN found incidentally. The patient underwent a routine chest radiograph for persistent mild asthma, which revealed a significant paravertebral opacity. Subsequent Computed Tomography (CT) scan identified a well-demarcated, homogeneous mass measuring 9.5 \times 6.0 \times 4.5 cm, extending from the T5 to T11 vertebral levels and closely associated with the descending aorta. The patient was asymptomatic from the mass. A right posterolateral thoracotomy was performed, and the densely adherent mass was completely resected en bloc. Histopathological examination confirmed a mature ganglioneuroma. The patient recovered without complications and was discharged on postoperative day three. This case underscores that large GNs can remain asymptomatic and highlights the critical role of precise surgical technique in resecting lesions adherent to major vascular structures, even when discovered incidentally.
Ganglioneuroma; Posterior mediastinum; Incidentaloma; Pediatric surgery; Thoracotomy
Manisha Timalsena, Adil Simab, Muneeb Ur Rahman, Abdul Azam Khan, Huda Faisal, Siffat Ullah, et al. Surgical Management of an Incidental Massive Posterior Mediastinal Ganglioneuroma in a Pediatric Patient: A Case Report. Ann Case Rep Clin Stud. 2025;4(9):1-4.