
Journal Basic Info
- Impact Factor: 2.395**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Ophthalmic Surgery
- Urology
- Orthopaedic Surgery
- Thoracic Surgery
- Oral and Maxillofacial Surgery
- Pediatric Surgery
- Vascular Surgery
- Gastroenterological Surgery
Abstract
Citation: Clin Surg. 2018;3(1):2249.Case Report | Open Access
Extra-Adrenal Silent Paraganglioma: An Old Foe
Dibesh Shrestha, Wen-Liang Li, Jian Huang, Zhu Zhu, Rui-Ze Zhou and Quan Yang
Department of Surgical Oncology, First Affiliated Hospital of Kunming Medical University, China
*Correspondance to: Wen-Liang Li
PDF Full Text DOI: 10.25107/2474-1647.2249
Abstract
Extra-adrenal paragangliomas are rare neuroendocrine tumors arising from chromaffin cells located in areas where par ganglia normally occur. They usually present with symptoms of catecholamine excess, however, a significant proportion of cases are asymptomatic or present with non-specific symptoms. One such variety comprises the silent or normotensive paraganglioma. We present a case of a 50 year-old female who presented with abdominal pain. On Magnetic Resonance Imaging (MRI) a well demarcated mass was found on the posterior abdominal wall, closely related to the abdominal aorta and the left kidney. During surgery to remove the mass, hemodynamic fluctuations were encountered, which were able to be managed promptly. Here we highlight the non-specific presentation of a silent paraganglioma leading to diagnostic dilemma and its potentially catastrophic consequences. We also focus on the lack of specific non-invasive preoperative diagnostic characteristics which are necessary for patient safety and suggest the routine assessment of the much under-utilized catecholamine profile in the preoperative evaluation of lesions localized in the potential sites of occurrence of paragangliomas, especially in patients presenting with non-specific symptoms.
Keywords
Paraganglioma; Pheochromocytoma; Extra-adrenal; Neuroendocrine tumor; Catecholamine; Hypertensive crisis
Cite the article
Shrestha D, Li W-L, Huang J, Zhu Z, Zhou R-Z, Yang Q. Extra-Adrenal Silent Paraganglioma: An Old Foe. Clin Surg. 2018; 3: 2249.