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Year : 2007  |  Volume : 23  |  Issue : 4  |  Page : 471-473

Para aortic ganglioneuroma presenting as Cushing's syndrome

Department of Urology, Osmania General Hospital, Hyderabad, India

Correspondence Address:
P T Ravi Chander
Osmania General Hospital, Hyderabad
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.36725

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We present a case of an eight-year-old female presenting with four months history of progressive weight gain, short stature, obesity, mild acanthosis, moon facies and buffalo hump. Biochemically, low-dose and high-dose Dexamethasone tests were not suppressible, ACTH was raised and 24h urinary metanephrines were normal. The CECT scan showed a 3cm paraganglioma. Tumor was excised via 11 th rib transcostal approach and the mass was found arising from the sympathetic chain. Histopathology was suggestive of ganglioneuroma positive for ACTH immunostaining.

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