This paper is only available as a PDF. To read, Please Download here.
Abstract
The case report exemplifies the cardinal features of this uncommon interesting tumor.
In the past, none of these tumors were diagnosed either preoperatively or during the
life of the patient. With the clinical data that have been accumulating, however,
we believe that a presumptive diagnosis, at least, could be made in these cases. The
great value of such a diagnosis lies in the fact that the treatment is entirely surgical.
Since malignant degeneration is very rare, it is only necessary to remove the tumor
completely to cure the patient effectively. Here again, the surgeon must realize that
one of the characteristic features of the tumor is its fixity to circumjacent structures,
particularly large vessels, and the marked vascularity of the tumor itself. All patients
must be adequately prepared preoperatively with whole blood transfusions, and must
be given blood both during and after the operative removal. Furthermore, the great
tendency of these patients to go into shock during and shortly after the operation
must be taken into consideration and measures to counteract this taken immediately.
In those cases in which the tumor can be completely removed, the patient is cured.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Ein Fall von gangliösem Neurom.Arch. f. path. Anat. [etc.], Berl. 1870; 49: 435-440
- Ein grosses Neuroma Gangliocellare des Nervus sympathicus.Virchow's Arch. f. path. Anat. [etc.], Berl. (Supplement). 1898; 151: 66
- Ganglioneuroma of Retroperitoneal Origin.Arch. Path. 1931; 11: 118-124
- Case of Retroperitoneal Pelvic Ganglioneuroma.J. Obst. & Gynaec. Brit. Emp. 1944; 51 (reported by Clayton, S. G.): 44-48
- Retroperitoneales Ganglionneurom, Ovarialgeschwulst vortäuschend.Zentralbl. f. Gynäk. 1936; 60: 1171-1178
- Ganglioneuroma of the Suprarenal Gland.Australian & New Zealand J. Surg. 1943; 13: 123-128
- Surgical Removal of Large Retroperitoneal Sacrolumbar ganglioneuroma.Am. J. Surg. 1940; 48: 675-680
- Developmental Anatomy.in: W. B. Saunders Company, Philadelphia1937: 440-441
- Pheochromocytoma of the Adrenal.Ann. Surg. 1940; 3: 112-116
- Text-Book of Pathology. Lea and Febiger, Philadelphia1938: 326
- Surgical Removal of Large Retroperitoneal Sacrolumbar Ganglioneuroma.Am. J. Surg. 1940; 48: 675-680
Article info
Publication history
Received:
November 13,
1945
Identification
Copyright
© 1946 Published by Elsevier Inc.