Presacral ganglioneuroma with abnormal FDG uptake: a case report.
Ganglioneuromas are rare, benign, well-differentiated, slowgrowing tumors of the sympathetic nervous system, composed of large, mature neurons in a stroma composed of Schwann cells. Ganglioneuromas are derived from the neural crest cells and can arise anywhere from the base of the skull to the pelvis. The pre-sacral area is a very rare location for ganglioneuromas to develop. We describe the case of a 31 year old woman, who was incidentally found to have an abnormal pre-sacral mass. The following work-up, revealed the mass to be growing on imagery (computed tomography and magnetic resonance imagery) and fluorine-18 fluorodeoxiglucose avid. The mass was removed by assisted laparoscopy and was found to be a benign ganglioneuroma. This is the first described case of fluorine-18 fluorodeoxiglucose avid, pre-sacral, benign ganglioneuroma.
Dept. of Surgery, RHMS, Belgium. serge.holz@hotmail.com
S
S
Holz
C
C
Keyzer
J
J
Van Stadt
S
S
Willemart
E
E
Chasse
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D019788:Fluorodeoxyglucose F18 / Q000493:pharmacokinetics; D005729:Ganglioneuroma / Q000175:diagnosis* / Q000378:metabolism; D006801:Humans; D010535:Laparoscopy; D008160:Lumbosacral Plexus; D008279:Magnetic Resonance Imaging / Q000379:methods*; D009367:Neoplasm Staging; D010524:Peripheral Nervous System Neoplasms / Q000175:diagnosis* / Q000378:metabolism; D049268:Positron-Emission Tomography / Q000379:methods*; D019275:Radiopharmaceuticals / Q000493:pharmacokinetics
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18