[Para-aortic paraganglioma found by arteriography. Apropos of a case and review of the literature].
A 53 years old man had an angiography for suspected renovascular hypertension (arteritis, renal insufficiency, duplex scanning). It showed a narrow right renal artery streched by a 45 mm mass arising from the adrenal. The computed tomography showed the tumor and the nuclear magnetic resonance imaging indicated a pheochromocytoma. The patient had no complain of headaches, palpitations or sweating. Biochemistry was normal except for a slight serum creatinin elevation and a non significant urinary noradrenaline level. A diagnostic of non functioning pheochromocytoma was made. The therapeutics consisted in a surgical ablation of the tumor and the right kidney (non functioning) and the patient became normotensive thereafter without treatment. The histologic feature was an aortico-sympathetic paraganglia, the adrenal was normal. Paraganglias are arising from the paraganglion system including chemodectoma and glomus jugulare tumor. Non functioning retroperitoneal paraganglias are uncommon: less than 50 in the literature between 1902 and 1992.
Manière-Constantin
D
D
Service de médecine interne, centre hospitalier Saint-Joseph et Saint-Luc, Lyon.
Bachet
P
P
Chevallier
M
M
Ferrini
M
M
Kepenekian
G
G
Lapras
C
C
Pelegrin-Mollard
I
I
D001012:Aorta, Abdominal; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology; D007668:Kidney / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D010236:Paraganglioma, Extra-Adrenal / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D011877:Radionuclide Imaging; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome