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CASE REPORT
Year : 2015  |  Volume : 6  |  Issue : 1  |  Page : 59-61

Lipomatous retroperitoneal ganglioneuroma


1 Department of Pathology, Sir Seewoosagur Ramgoolam Medical College, Mauritius
2 Department of Pathology, Sir Seewoosagur Ramgoolam Medical College, Mauritius, India
3 Department of Pathology, RDT Hospital, Andhra Pradesh, India

Correspondence Address:
Rama Srivastava
7, Bonnefin Frederic Street, Forest Side, Curepipe
Mauritius
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-9727.146429

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Fatty replacement of non-lipomatous tumors is rare. We report a case of retroperitoneal ganglioneuroma, showing fatty replacement in a 17-year-old adolescent male. The patient presented with a left lumbar mass. Ultrasound and computed tomography (CT) examination showed a 5 × 6 cm mass near the left adrenal gland. A diagnosis of myelolipoma was made clinically due to the proximity of the tumor to the adrenal gland and fat content of the tumor. Microscopic examination of the growth revealed extensive foci of fat scattered between the ganglioneuroma component. Fatty replacement of the ganglioneuroma has been documented only in four cases so far. A short review of the differential diagnosis of fat containing retroperitoneal masses is made along with emphasis on the pathological and clinical implications of lipomatous change.


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