[A case of gangliocytic paraganglioma with lymphoid metastasis].
We report a 67-year-old woman who had stiff shoulders and anemia. Upper gastrointestinal endoscopy revealed a pedunclated nodular submucosal tumor with erosions and surface ulcers in the second portion of the duodenum. These endoscopic findings were thought to be characteristic of gangliocytic paraganglioma. CT scan revealed suspected lymph node metastasis, thus the tumor was resected with pancreaticoduodenectomy and was found to be a gangliocytic paraganglioma associated with lymph nodal metastasis. Due to the rarity of the disease there is no consensus regarding treatment. Although this tumor is considered benign, the possibility exists for regional lymph nodal spread. The treatment should be well planned with continuous careful evaluation.
Uchida
Daisuke
D
Department of Internal Medicine, Hiroshima City Hospital, Hiroshima, Japan.
Ogawa
Tsuneyoshi
T
Ueki
Toru
T
Kominami
Yoko
Y
Numata
Norifumi
N
Matsusita
Hiroshi
H
Morimoto
Yuki
Y
Nakarai
Asuka
A
Ota
Shigeru
S
Nanba
Shintaro
S
Takada
Shinichi
S
Iwado
Shota
S
Kurome
Manabu
M
Ohe
Hirotoki
H
Okamoto
Ryoichi
R
Uematsu
Syuji
S
Nakagawa
Masahiro
M
Ishida
Kiyotaka
K
Araki
Yasuyuki
Y
Mizuno
Motowo
M
D000368:Aged; D004379:Duodenal Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D016577:Pancreaticoduodenectomy; D010235:Paraganglioma / Q000473:pathology* / Q000601:surgery