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

Surgical removal of large retroperitoneal lumbar ganglioneuroma

A case report
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      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.
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