A Case Report of Ganglioneuroblastoma With Non-Specific Presentations: Diagnostic and Management Challenges; [گزارش یک مورد گانگلیونوروبلاستوما با تظاهرات غیراختصاصی: چالشهای تشخی صی و مدیریتی]



Khodabandeh M ; Kompani F ; Fashandaky F ; Kahdouei MT ; Borhani K ; Eshaghi H
Source: Scientific Journal of Kurdistan University of Medical Sciences Published:2025

Abstract

Background and Aim: Ganglioneuroblastoma is a rare tumor with a diverse clinical presentation, often leading to a delay in diagnosis due to nonspecific symptoms. GNB originates from neural crest cells and usually presents in early childhood. Given the diverse presentation of the patient, it can pose a diagnostic challenge. We report a case of GNB that was initially misdiagnosed as septic arthritis. Case presentation: The case was a 25-month-old boy who presented with fever, limping, and pelvic pain and was initially diagnosed as septic arthritis. Due to the lack of response to antibiotic therapy, further investigation led to the diagnosis of metastatic GNB . Conclusion: This case highlights the importance of considering malignancies in the differential diagnosis of musculoskeletal symptoms in children who fail to respond to initial treatment. It also highlights the critical role of advanced imaging and biopsy in reaching a definitive diagnosis . © 2025, Kurdistan University of Medical Sciences. All rights reserved.