An unusual location and presentation of a cervical ganglioneuroblastoma

Abstract: Separation of the internal carotid artery (ICA) and internal jugular vein (IJV) on computed tomography and magnetic resonance imaging is a radiographic feature that enables tumors of the cervical vagus nerve to be distinguished from nerve sheath tumors of the cervical sympathetic chain. The present case illustrates an exception. This 4-year-old boy presented with a left cervical mass, which demonstrated separation of the ICA and IJV and reversal of the position of the ICA and the external carotid artery (ECA). The patient underwent en bloc resection of the tumor, which arose from the superior sympathetic ganglion, and displaced the IJV laterally and the ICA medially. The pathological findings showed ganglioneuroblastoma, intermixed. This case demonstrates an unusual location and presentation of a cervical ganglioneuroblastoma.

Source: International Journal of Pediatric Otorhinolaryngology Extra - May 22, 2013 Category: ENT & OMF Authors: Yukihiro Tatekawa, Hiroaki Yamanaka, Toshimichi Hasegawa, Yashuhiko Yamashita Tags: Case reports Source Type: research