Korean J Med > Volume 75(3); 2008 > Article
The Korean Journal of Medicine 2008;75(3):819-822.
A huge abdominal ganglioneuroma with sarcomatous change
Nam Whan Park, Yung Jun Yang, Gak Won Yun, Sun Ah Jin, Ik Chan Song, Dae Yeong Kang, Samyong Kim
증례 : 육종성 변화를 보인 신경절신경종 1예
박남환.양영준.윤각원.진선아.송익찬.강대영.김삼용, Yung Jun Yang, Gak Won Yun, Sun Ah Jin, Ik Chan Song, Dae Yeong Kang, Samyong Kim
Abstract
Ganglioneuromas with malignant transformation originating from the adrenal gland are exceedingly rare. Here, we report a patient with a ganglioneuroma that showed sarcomatous change. In April 2006, a 40-year-old man presented with postprandial dyspepsia, left flank pain, and an abdominal mass. The huge abdominal mass overwhelmed the liver, stomach, and right kidney, and was removed through a trans-abdominal approach. It weighed 2 kg and measured 17.5¡¿16¡¿6.5 cm. The histopathologic diagnosis was ganglioneuroma with sarcomatous change, originating from the adrenal gland. Subsequently, he underwent four cycles of MAID (mesna, doxorubicin, ifosfamide, and dacarbazine) chemotherapy. As of August 2007, he is free of disease. (Korean J Med 75:S819-S822, 2008)
Key Words: Ganglioneuroma; Adrenal gland neoplasm; Sarcoma


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