Journal List > Korean J Urol > v.48(5) > 1004930

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Lee, Kim, Cho, Lee, Jeon, and Lee: Functional Paraganglioma of the Pelvic Cavity
Case Report
Korean Journal of Urology

Korean Journal of Urology 2007; 48(5): 561-563.

Published online: 31 May 2007

DOI: https://doi.org/10.4111/kju.2007.48.5.561

Functional Paraganglioma of the Pelvic Cavity

Sang-Wook Lee, Doo-Sang Kim, Hyun-deuk Cho1, Chang-Ho Lee, Yun-Soo Jeon, Nam-Kyu Lee

Department of Urology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

1Department of Pathology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

Corresponding author (urokds@schch.co.kr)

Received 2 February 2007       Accepted 3 April 2007

Copyright © 2007 The Korean Urological Association

Abstract

Paraganglioma is one of the pheochromocytomas, and this arises in the extra-adrenal tissue. It is a rare tumor of neural crest origin; it accounts for at least 10% of all the pheochromocytomas. Paragangliomas produce catecholamines and on the basis of this, they are classed as either functional or nonfunctional. We report here on our experience with laparoscopic removal of functional paragangliomas of the pelvic cavity and we include a brief review of literatures.

Keywords: Paraganglioma, extra-adrenal, Laparoscopy, Pelvis

Figures and Tables

Fig. 1
Horizontal section of the computed tomography shows a 3.4×2.3cm sized, well defined, oval-shaped enhanced mass in the extraperitoneal portion of the right pelvic cavity.
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Fig. 2
Laparoscopic view of the pelvic mass (M) and the feeding vessel (arrow) being ligated by using clips.
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Fig. 3
(A) This shows the "zellballen" pattern of the monotonous tumor cells with a moderate amount of cytoplasm, and the intervening capillaries (H&E, ×200). (B) Immunohistochemistry reveals the S-100 protein-positive sustentacular cells (×200).
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References

1. Hwang J, Shoaf G, Uchio EM, Watson J, Pacak K, Linehan WM, et al. Laparoscopic management of extra-adrenal pheochromocytoma. J Urol. 2004. 171:72–76.
2. Glenner GG, Grimley PM. Glenner GG, editor. Tumors of the extraadrenal paraganglion system. Atlas of tumor pathology. 1974. 2nd ed. Wshington DC: Armed Forces Institute of Pathology;13–86.
3. Cunningham SC, Suh HS, Winter JM, Montgomery E, Schulick RD, Cameron JL, et al. Retroperitoneal paraganglioma: single institution experience and review of the literature. J Gastrointest Surg. 2006. 10:1156–1163.
4. Gifford RW Jr, Manger WM, Bravo EL. Pheochromocytoma. Endocrinol Metab Clin North Am. 1995. 23:387–404.
5. Lee CB, Chang KS, Lee HB, Kim JS, Cho SY, Lee DH. A case of extra-adrenal paraganglioma of scrotum. Korean J Urol. 1997. 38:205–207.
6. Pui MH, Liu MJ, Guo Y, Chen YM. Computed tomography of retroperitoneal paragangliomas. Australas Radiol. 1999. 43:303–306.
7. Stoker ME, Patwardhan N, Maini BS. Laparoscopic adrenal surgery. Surg Endosc. 1995. 9:387–390.
8. Cho SH, Kim TH, Sung GT. The safety and efficacy of laparoscopic transperitoneal adrenalectomy in patients with pheochromocytoma. Korean J Urol. 2006. 47:1204–1209.
9. Janetschek G, Finkenstedt G, Gasser R, Waibel UG, Peschel R, Bartsch G, et al. Laparoscopic surgery for pheochromocytoma: adrenalectomy, partial resection, excision of paragangliomas. J Urol. 1998. 160:330–334.
10. Patel SR, Winchester DJ, Benjamin RS. A 15-year experience with chemotherapy of patients with paraganglioma. Cancer. 1995. 76:1476–1480.
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