Issue N# 4 - 2016
PAEDIATRICS
Ganglioneuroma in saharan environment: Analysis of a case and review of literature
Authors : Keita MA, Diarra K, Kone FI, Konate N, Dao S, Soumaoro S, Guindo B, Traore L, Doumbia K, Timbo SK, AG Mohamed A. (Bamako)
Ref. : Rev Laryngol Otol Rhinol. 2016;137,4:101-104.
Article published in french 
Downloadable PDF document french
Summary :
Objectives: To study the diagnostic and therapeutic cervical aspects of a ganglioneuroma. Material and Method: Analyze clinical case and review of literature on a case colligé in hospitalization of ORL with the CHU Gabriel Touré of Bamako. Mali. Results: AT, 6 years, female sex, peulh, raise, of nationality Malian, resident in Bamako in his parents, were allowed in hospitalization ORL 10/12/2013 for a right latéro-cervical tumefaction. This tumefaction had evolved/moved for 3 years, in a nonfeverish context and without tendency to spontaneous fistulisation, with catch ofprogressive volume. In its antecedents were raised a otorrhée adenectomy and one homolatérale. With the examination of admission, tumefaction was latéro-cervical high, right, with a skin in glance carrying one heals incision on approximately 3 cm. With palpation it was about a mass of 6 cm large diameter, painless, of firm consistency, of regular contour, mobile compared to the plans surface and major and on which beat in a pulsatile way the external jugular vein homolatérale. Tumefaction took the Iia group and III. The cervical tomodensitometry directed towards a homogeneous hypodensity of tissue type ovalaire noninvasive taking all the right latéro-cervical area. The surgical exérèse of the tumour was carried out the 12/02/2014 pennies general anaesthesia with ganglionic clearing out selective of the group IIa and III, the operational continuations were without characteristic. The anatomopathologic study of the surgical part of exérèse was the key of the diagnosis with the contribution of the immunohistochimy. With a post-operative passing 12 months, the patient goes well. Conclusion: The ganglioneuromes are very rare tumours, in front of a chronic cervical mass of the child, one must think of it the more so as their diagnosis passes by a complete surgical clearing out only pledge of cure and the contribution of immuno-marking.
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