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A Malignant Transformation of a Spinal Epidural Mass from Ganglioneuroblastoma to Neuroblastoma
Authors:Mehmet Osman Akcakaya  Bilge Bilgic  Yavuz Aras  Nail Izgi
Affiliation:1Department of Neurosurgery, School of Medicine, Istanbul University, Istanbul, Turkey.;2Department of Pathology, School of Medicine, Istanbul University, Istanbul, Turkey.
Abstract:Ganglioneuromas are benign tumors. Surgical excision is the treatment of choice with very good prognosis. However, neuroblastomatous malignant transformation of ganglioneuromas was previously reported. We report a patient with spinal neuroblastoma recurrent from a ganglioneuroblastoma after disease free survival of 13 years. This is one of the rare examples of spinal neuroblastoma and to our knowledge the second case report with malignant transformation from a ganglioneuroblastoma or a ganglioneuroma. The present case is the only report in the literature with further genetic investigations.
Keywords:Ganglioneuroblastoma   Neuroblastoma   Malignant transformation   Spinal tumor
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