Original communication| Volume 20, ISSUE 4, P571-578, October 1946

Surgical removal of large retroperitoneal lumbar ganglioneuroma

A case report
      This paper is only available as a PDF. To read, Please Download here.


      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 access
      One-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 to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Loretz W.
        Ein Fall von gangliösem Neurom.
        Arch. f. path. Anat. [etc.], Berl. 1870; 49: 435-440
        • Busse A.
        Ein grosses Neuroma Gangliocellare des Nervus sympathicus.
        Virchow's Arch. f. path. Anat. [etc.], Berl. (Supplement). 1898; 151: 66
        • McFarland J.
        Ganglioneuroma of Retroperitoneal Origin.
        Arch. Path. 1931; 11: 118-124
        • Kehrer E.
        Case of Retroperitoneal Pelvic Ganglioneuroma.
        J. Obst. & Gynaec. Brit. Emp. 1944; 51 (reported by Clayton, S. G.): 44-48
        • von Salacz P.
        Retroperitoneales Ganglionneurom, Ovarialgeschwulst vortäuschend.
        Zentralbl. f. Gynäk. 1936; 60: 1171-1178
        • King E.S.J.
        Ganglioneuroma of the Suprarenal Gland.
        Australian & New Zealand J. Surg. 1943; 13: 123-128
        • Evans J.H.
        • Francona N.T.
        Surgical Removal of Large Retroperitoneal Sacrolumbar ganglioneuroma.
        Am. J. Surg. 1940; 48: 675-680
        • Arey L.B.
        Developmental Anatomy.
        in: W. B. Saunders Company, Philadelphia1937: 440-441
        • Baumgarten E.C.
        • Cantor M.O.
        Pheochromocytoma of the Adrenal.
        Ann. Surg. 1940; 3: 112-116
        • Boyd W.
        Text-Book of Pathology. Lea and Febiger, Philadelphia1938: 326
        • Evans J.H.
        • Francona N.T.
        Surgical Removal of Large Retroperitoneal Sacrolumbar Ganglioneuroma.
        Am. J. Surg. 1940; 48: 675-680