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Article
November 1954

GANGLIONEUROMA OF THE LUMBAR SYMPATHETIC CHAINReport of a Case

Author Affiliations

SHEFFIELD, ENGLAND
Senior Surgical Registrar (Mr. Rowlands) and Senior Medical Registrar (Mr. Baird), The Royal Infirmary.

AMA Arch Surg. 1954;69(5):607-611. doi:10.1001/archsurg.1954.01270050011004
Abstract

GANGLIONEUROMAS of the sympathetic nervous system are rare. Most reports in the British surgical literature deal with the mediastinal and dumbbell varieties (Paterson and Pilcher, 1941; Eden, 1941, and Sames, 1950). The less common intra-abdominal type has been seldom described.

REPORT OF CASE  The patient, a boy of 16, was found to have an abdominal swelling at a routine medical examination prior to employment as a miner. He was admitted to hospital for investigation a month later.

Examination.  —He was a fit-looking youth with no complaint. In the left upper quadrant of the abdomen was an easily palpable, painless, slightly mobile mass. It was round in outline, firm in consistency, with a smooth surface, and was easily felt in the loin on bimanual palpation. It was close to the midline and did not conform in position to a lesion of splenic or renal origin. A complete clinical examination revealed no

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