Ganglioneuroma pathophysiology: Difference between revisions
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*Ganglioneuromas are fully differentiated neuronal tumors that do ''not'' contain immature elements. | *Ganglioneuromas are fully differentiated neuronal tumors that do ''not'' contain immature elements. | ||
*They are composed of [[ganglion cells]], [[schwann cells]] and [[fibrous tissue]]. | *They are composed of [[ganglion cells]], [[schwann cells]] and [[fibrous tissue]]. | ||
*Histopathology consists of spindled cells, with cell borders in a fibrillar matrix | *Histopathology consists of spindled cells, with cell borders in a fibrillar matrix which contain ganglion cells, with large round nuclei, prominent nucleoli, and abundant eosinophilic cytoplasm. No atypia or mitotic activity was evident. The ganglion cells stained positive for S-100 protein.<ref name="pmid22907039">{{cite journal| author=Vasiliadis K, Papavasiliou C, Fachiridis D, Pervana S, Michaelides M, Kiranou M et al.| title=Retroperitoneal extra-adrenal ganglioneuroma involving the infrahepatic inferior vena cava, celiac axis and superior mesenteric artery: A case report. | journal=Int J Surg Case Rep | year= 2012 | volume= 3 | issue= 11 | pages= 541-3 | pmid=22907039 | doi=10.1016/j.ijscr.2012.07.008 | pmc=PMC3437388 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22907039 }} </ref> | ||
====Videos==== | ====Videos==== |
Revision as of 19:26, 9 September 2015
Ganglioneuroma Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Ganglioneuroma pathophysiology On the Web |
American Roentgen Ray Society Images of Ganglioneuroma pathophysiology |
Risk calculators and risk factors for Ganglioneuroma pathophysiology |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Pathophysiology
Genetics
Development of ganglioneuroma is the result of multiple genetic mutations. Genes involved in the pathogenesis of ganglioneuroma include MYCN oncogene and chromosome 1p36.
Associated Conditions
- Multiple endocrine neoplasia type IIb: particularly with mucosal ganglioneuromas.[1]
- Turner syndrome
- Neurofibromatosis type 1
Gross Pathology
- Ganglioneuromas are solid, firm tumors that are typically white when seen with the naked eye
- Gangliocytoma is commonly located in the following regions:[1]
- Posterior paraspinal mediastinum (most common)
- Adrenal gland
- Paraspinal retroperitoneum
- Neck
Microscopic Pathology
- Ganglioneuromas are derived from the primordial neural crest cells, which are undifferentiated cells of the sympathetic nervous system.
- Ganglioneuromas are fully differentiated neuronal tumors that do not contain immature elements.
- They are composed of ganglion cells, schwann cells and fibrous tissue.
- Histopathology consists of spindled cells, with cell borders in a fibrillar matrix which contain ganglion cells, with large round nuclei, prominent nucleoli, and abundant eosinophilic cytoplasm. No atypia or mitotic activity was evident. The ganglion cells stained positive for S-100 protein.[2]
Videos
{{#ev:youtube|IWng6E9flDA}}
References
- ↑ 1.0 1.1 Pathology of ganglioneuroma. Dr Bruno Di Muzio and Dr Yuranga Weerakkody et al. Radiopaedia 2015. http://radiopaedia.org/articles/ganglioneuroma
- ↑ Vasiliadis K, Papavasiliou C, Fachiridis D, Pervana S, Michaelides M, Kiranou M; et al. (2012). "Retroperitoneal extra-adrenal ganglioneuroma involving the infrahepatic inferior vena cava, celiac axis and superior mesenteric artery: A case report". Int J Surg Case Rep. 3 (11): 541–3. doi:10.1016/j.ijscr.2012.07.008. PMC 3437388. PMID 22907039.