Cervical ganglioneuroma in an adult man: case report and literature review of a rare occurrence

J La State Med Soc. 2010 Jul-Aug;162(4):218-21.

Abstract

Objective and importance: Ganglioneuromas are rare benign tumors of the neural crest occurring in early childhood. They are occasionally diagnosed in young adults due to their mass-effect on adjacent structures. We report a case of ganglioneuroma incidentally diagnosed in an adult man.

Clinical presentation: A 41-year-old man presented with left-sided cervical radiculopathy symptoms due to degenerative disc disease at the C5-6 and C6-7 levels. The diagnostic radiology work-up revealed a mass in the left side of the neck between the carotid artery and jugular vein.

Intervention: Surgical excision of the mass was performed and the histological diagnosis of ganglioneuroma was established. The patient developed left-sided Horner's syndrome post-operatively.

Conclusion: The present case suggests that these tumors may have insidious presence in the adult population, and therefore, should be considered in the differential diagnosis of a lateral neck mass in asymptomatic adult patients.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Ganglioneuroma / diagnosis
  • Ganglioneuroma / pathology
  • Ganglioneuroma / surgery*
  • Head and Neck Neoplasms / diagnosis
  • Head and Neck Neoplasms / pathology
  • Head and Neck Neoplasms / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Radiculopathy / etiology*