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Retrospective analysis of retroperitoneal-abdominal-pelvic ganglioneuromas: an international study by the Transatlantic Australasian Retroperitoneal Sarcoma Working Group (TARPSWG)

Objective: - The Transatlantic Australasian Retroperitoneal Sarcoma Working Group conducted a retrospective study on the disease course and clinical management of ganglioneuromas. - Background: - Ganglioneuromas are rare tumors derived from neural crest cells. Data on these tumors remain lim...

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Main Authors: Noh, Sangkyu (Author) , Nessim, Carolyn (Author) , Keung, Emily Z. (Author) , Roland, Christina L. (Author) , Strauss, Dirk (Author) , Sivarajah, Gausihi (Author) , Fiore, Marco (Author) , Biasoni, Davide (Author) , Cioffi, Stefano Piero Bernardo (Author) , Mehtsun, Winta (Author) , Cananzi, Ferdinando Carlo Maria (Author) , Sicoli, Federico (Author) , Quagliuolo, Vittorio (Author) , Chen, Jun (Author) , Luo, Chenghua (Author) , Gladdy, Rebecca A. (Author) , Swallow, Carol (Author) , Johnston, Wendy (Author) , Ford, Samuel J. (Author) , Evenden, Caroline (Author) , Tirotta, Fabio (Author) , Almond, Max (Author) , Nguyen, Laura (Author) , Rutkowski, Piotr (Author) , Krotewicz, Maria (Author) , Pennacchioli, Elisabetta (Author) , Cardona, Kenneth (Author) , Gamboa, Adriana (Author) , Hompes, Daphne (Author) , Renard, Marleen (Author) , Kollár, Attila (Author) , Ryser, Christoph O. (Author) , Vassos, Nikolaos (Author) , Raut, Chandrajit P. (Author) , Fairweather, Mark (Author) , Krakorova, Dagmar Adamkova (Author) , Quildrian, Sergio (Author) , Perhavec, Andraz (Author) , Nizri, Eran (Author) , Farma, Jeffrey M. (Author) , Greco, Stephanie H. (Author) , Vincenzi, Bruno (Author) , Lopez, José Antonio González (Author) , Solerdecoll, Mireia Solans (Author) , Iwata, Shintaro (Author) , Fukushima, Suguru (Author) , Kim, Teresa (Author) , Tolomeo, Francesco (Author) , Snow, Hayden (Author) , Howlett-Jansen, Ynez (Author) , Tzanis, Dimitri (Author) , Nikulin, Maxim (Author) , Gronchi, Alessandro (Author) , Sicklick, Jason K. (Author)
Format: Article (Journal)
Language:English
Published: August 2023
In: Annals of surgery
Year: 2023, Volume: 278, Issue: 2, Pages: 267-273
ISSN:1528-1140
DOI:10.1097/SLA.0000000000005625
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/SLA.0000000000005625
Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/annalsofsurgery/fulltext/2023/08000/retrospective_analysis_of.18.aspx
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Author Notes:Sangkyu Noh, Carolyn Nessim, Emily Z. Keung, Christina L. Roland, Dirk Strauss, Gausihi Sivarajah, Marco Fiore, Davide Biasoni, Stefano Piero Bernardo Cioffi, Winta Mehtsun, Ferdinando Carlo Maria Cananzi, Federico Sicoli, Vittorio Quagliuolo, Jun Chen, Chenghua Luo, Rebecca A. Gladdy, Carol Swallow, Wendy Johnston, Samuel J. Ford, Caroline Evenden, Fabio Tirotta, Max Almond, Laura Nguyen, Piotr Rutkowski, Maria Krotewicz, Elisabetta Pennacchioli, Kenneth Cardona, Adriana Gamboa, Daphne Hompes, Marleen Renard, Attila Kollár, Christoph O. Ryser, Nikolaos Vassos, Chandrajit P. Raut, Mark Fairweather, Dagmar Adamkova Krakorova, Sergio Quildrian, Andraz Perhavec, Eran Nizri, Jeffrey M. Farma, Stephanie H. Greco, Bruno Vincenzi, José Antonio González Lopez, Mireia Solans Solerdecoll, Shintaro Iwata, Suguru Fukushima, Teresa Kim, Francesco Tolomeo, Hayden Snow, Ynez Howlett-Jansen, Dimitri Tzanis, Maxim Nikulin, Alessandro Gronchi, Jason K. Sicklick, and on behalf of the Transatlantic Australasian Retroperitoneal Sarcoma Working Group
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Summary:Objective: - The Transatlantic Australasian Retroperitoneal Sarcoma Working Group conducted a retrospective study on the disease course and clinical management of ganglioneuromas. - Background: - Ganglioneuromas are rare tumors derived from neural crest cells. Data on these tumors remain limited to case reports and single-institution case series. - Methods: - Patients of all ages with pathologically confirmed primary retroperitoneal, intra-abdominal, and pelvic ganglioneuromas between January 1, 2000, and January 1, 2020, were included. We examined demographic, clinicopathologic, and radiologic characteristics, as well as clinical management. - Results: - Overall, 328 patients from 29 institutions were included. The median age at diagnosis was 37 years with 59.1% of patients being female. Symptomatic presentation comprised 40.9% of cases, and tumors were often located in the extra-adrenal retroperitoneum (67.1%). At baseline, the median maximum tumor diameter was 7.2 cm. One hundred sixteen (35.4%) patients underwent active surveillance, whereas 212 (64.6%) patients underwent resection with 74.5% of operative cases achieving an R0/R1 resection. Serial tumor evaluations showed that malignant transformation to neuroblastoma was rare (0.9%, N=3). Tumors undergoing surveillance had a median follow-up of 1.9 years, with 92.2% of ganglioneuromas stable in size. With a median follow-up of 3.0 years for resected tumors, 84.4% of patients were disease free after resections, whereas recurrences were observed in 4 (1.9%) patients. - Conclusions: - Most ganglioneuromas have indolent disease courses and rarely transform to neuroblastoma. Thus, active surveillance may be appropriate for benign and asymptomatic tumors particularly when the risks of surgery outweigh the benefits. For symptomatic or growing tumors, resection may be curative.
Item Description:Gesehen am 13.10.2023
Physical Description:Online Resource
ISSN:1528-1140
DOI:10.1097/SLA.0000000000005625

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