Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a 6 year old female with a one month history of a dry cough.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Upper respiratory infection
A chest film showed a large posterior mediastinal mass. A chest CT exam showed the mass to cross the midline, to be calcified and to extend into the spinal canal.
Images 1 and 2
Imaging Differential Diagnosis:
Neuroblastoma, ganglioneuroblastoma, ganglioneuroma
The patient was taken electively to the operating room and the bulk of the tumor was resected.
Pathological examination of the specimen revealed findings compatible with a diagnosis of ganglioneuroma.
Ganglioneuroma, Posterior Mediastinal
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course. A chest film taken 5 months after the surgery showed the tumor beginning to enlarge again, but no further therapy was planned at that time.
Case 32, Case 35, Case 42, Case 70
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