Ganglioneuroma is a rare, benign, well-differentiated, slow-growing tumor that arises from neural crest tissue of the sympathetic nervous system.1 Treatment for ganglioneuroma is surgical resection; however, surgery is associated with significant risk of complications.2
We report a case of a 10-year old female with a 3-month history of recurrent episodes of chest pain and shortness of breath on deep inspiration. Initial chest x-ray showed ovoid tissue opacity on the posterior left upper lung. Computed tomography (CT) of the chest revealed left posterior mediastinal mass with benign features. Contrast-enhanced magnetic resonance imaging (MRI) to rule out intraspinal invasion of the mass revealed absence of invasion. Surgical excision through left posterolateral thoracotomy was performed with histopathology result confirming the diagnosis of ganglioneuroma. On the 1st post-operative day, ptosis was noted on the left eye with partial improvement upon discharge.
An approach that anticipates possible complications post-operatively is best employed to minimize the risks that may occur in the management of ganglioneuroma.