Transcervical excision combined with uniportal VATS for apical ganglioneuroma: a case report

Masses in the posterior mediastinum are commonly encountered by thoracic surgeons. Neurogenic tumors are the most common of these entities (1). A review of systems may identify symptoms of mass effect, including pain, dysphagia, dyspnea, stridor, cough, or Horner’s syndrome. Ganglioneuroma is a clinically uncommon benign tumor arising from the neural crest with further terminal neuronal differentiation into ganglion cells (2). It can occur at any age but is most commonly found in adults. Surgical resection without additional therapy is usually curative (3). Ganglioneuroma can occupy the whole thoracic outlet to the neck. The resection of such tumors should be carefully deliberated upon to avoid injuring the surrounding structures.