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July 1958

Ganglioneuroma of the Cervical Autonomic Nervous System

Author Affiliations

U. S. Army (Res.); U. S. Army (Res.)
From the Departments of Surgery and Pathology of the U. S. Army Hospital, Fort Chaffee, Ark.; Now at the Department of Surgery, the George Washington University Hospital, Washington, D. C. (Captain Smyth). Now at the Department of Pathology, University of Missouri School of Medicine, Columbia, Mo.

AMA Arch Surg. 1958;77(1):39-46. doi:10.1001/archsurg.1958.01290010041008

Ganglioneuroma is an uncommon tumor found in association with the sympathetic nervous system throughout the body. Although more than 200 cases are now on record, the occurrence of the tumor in the neck is a rarity. It is found in the cervical sympathetic ganglia, the ganglion nodosum of the vagus, and the carotid body, forming a very characteristic tumor. The consequences of excision are such that preoperative diagnosis is desirable, although rarely achieved.

We are presenting a case of ganglioneuroma of the left superior cervical sympathetic ganglion, together with a review of the literature and a discussion of the distinctive features, diagnosis, and treatment, of these rare neck tumors.

Report of a Case  The patient was a 20-year-old white enlisted man, referred to the surgical outpatient department for evaluation prior to his separation from the service. The patient had been aware of a swelling on the left side of his

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