Ganglioneuroma of the cervical autonomic nervous system.

Abstract

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. <h3>Report of a Case</h3> 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