title: [A case of gangliocytic paraganglioma with lymphoid metastasis].
abstract: 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.
authors.affiliation: Department of Internal Medicine, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Uchida
authors.forename: Tsuneyoshi
authors.initials: T
authors.lastname: Ogawa
authors.forename: Toru
authors.initials: T
authors.lastname: Ueki
authors.forename: Yoko
authors.initials: Y
authors.lastname: Kominami
authors.forename: Norifumi
authors.initials: N
authors.lastname: Numata
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsusita
authors.forename: Yuki
authors.initials: Y
authors.lastname: Morimoto
authors.forename: Asuka
authors.initials: A
authors.lastname: Nakarai
authors.forename: Shigeru
authors.initials: S
authors.lastname: Ota
authors.forename: Shintaro
authors.initials: S
authors.lastname: Nanba
authors.forename: Shinichi
authors.initials: S
authors.lastname: Takada
authors.forename: Shota
authors.initials: S
authors.lastname: Iwado
authors.forename: Manabu
authors.initials: M
authors.lastname: Kurome
authors.forename: Hirotoki
authors.initials: H
authors.lastname: Ohe
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Okamoto
authors.forename: Syuji
authors.initials: S
authors.lastname: Uematsu
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakagawa
authors.forename: Kiyotaka
authors.initials: K
authors.lastname: Ishida
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Araki
authors.forename: Motowo
authors.initials: M
authors.lastname: Mizuno
mesh_terms: D000368:Aged; D004379:Duodenal Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D016577:Pancreaticoduodenectomy; D010235:Paraganglioma / Q000473:pathology* / Q000601:surgery