Extra-adrenal giant paraganglioma: case report
Abstract
Masses that arise from extra-adrenal sympathetic and parasympathetic paraganglia are classified as extra-adrenal paraganglioma. The tumours can produce a hypersecretion of catecholamines that generate a variety of symptoms, which can be lethal if left undiagnosed. Adequate chemical/hormonal testing should be done and a selection of image studies performed to localize and categorize these lesions.
The classic triad of symptoms composed of headaches, palpitations and profuse sweating combined with elevated metanephrine or catecholamines levels and identification of an adrenal or retroperitoneal mass is needed for a correct diagnosis.
The cornerstone treatment for phecromocytoma or paraganglioma is the surgical resection and preoperative imaging is essential for defining laparoscopic vs open approach as well as localizing tumour vascular supply.
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