The surrenal ganglioneuroma: a rare anatomo-clinical entity (About a case)

D. ERGUIBI, T. ELABBASSI, F.Z. BELABES, Y.FAHMI, B.KADIRI
Page No :172-176

The ganglioneurom is a rare benign tumor of the adult and the adrenal localization is only 20% of
all the localizations. We report the case of an adrenal ganglioneurosis in a 51-year-old patient. She
had moderate pain in her right flank. Clinical examination was normal. Ultrasound showed a
rounded hypoechoic formation between the upper pole of the right kidney and the liver of 37mm
diameter evoking a right adrenal process. Computed tomography (CT) showed the presence of a
well-defined 50/30 mm oval-shaped adrenal mass with a few thin endolesional calcifications. The
biological balance of which a hormonal evaluation was normal. The patient had undergone a
complete resection of the sural tumor. On histological examination, the diagnosis is that of a
ganlioneurome. The surgery was simple.The diagnosis of ganlioneurome is difficult and is definitely
retained only after the immunohistochemical study of the surgical specimen. Complete monobloc
resection is the only treatment.
Keywords : Ganglioneurome, adrenal tumor, diagnosis, resection, histopathology.