Non-functional paraganglioma of the posterior mediastinum
Journal
Interactive Cardiovascular and Thoracic Surgery
Journal Volume
9
Journal Issue
3
Pages
540-542
Date Issued
2009
Author(s)
Abstract
Mediastinal paraganglioma is a rare and slow growing neurogenic tumor. Here, we describe a 49-year-old woman with a non-functional posterior mediastinal paraganglioma. Video-assisted thoracoscopic surgery for tumor excision failed due to massive bleeding. The tumor[as excised successfully by lateral thoracotomy with bipolar electrocautery 1 week after the first operation. Mediastinal paraganglioma remains a surgical challenge due to its hypervascular character and firm adhesion to adjacent mediastinal structure. Since the nonfunctional posterior mediastinal paraganglioma is often diagnosed after operation, it should be regarded as a differential diagnosis of mediastinal mass, especially if surgeons experience unexpected massive bleeding during operation.
SDGs
Other Subjects
adult; article; bleeding; cancer surgery; case report; cauterization; computer assisted tomography; female; human; mediastinum tumor; paraganglioma; priority journal; thoracotomy; treatment failure; Blood Loss, Surgical; Diagnosis, Differential; Electrocoagulation; Female; Hemostasis, Surgical; Humans; Magnetic Resonance Imaging; Mediastinal Neoplasms; Middle Aged; Paraganglioma, Extra-Adrenal; Reoperation; Thoracic Surgery, Video-Assisted; Thoracotomy; Tomography, X-Ray Computed; Treatment Failure
Type
journal article