title: Laparoscopic resection of periadrenal paraganglioma in a patient with multiple endocrine neoplasia type 2A.
abstract: We report here a case of recurrent pheochromocytoma successfully managed by laparoscopic surgery in a patient with multiple endocrine neoplasia type 2A. A 25-year-old man presented with the contralateral adrenal mass after earlier right adrenalectomy. For the preoperative diagnosis of left adrenal pheochromocytoma, adrenal sparing surgery was considered. From the intraoperative laparoscopic view, we found that the tumor originated in periadrenal sympathetic ganglia, and laparoscopic excision of paraganglioma was successfully performed that preserved the integrity of normal adrenal gland. Extra-adrenal pheochromocytoma is rather rare in MEN 2A and it is important to identify precise intraoperative localization of pheochromocytoma with laparoscopic surgery.
authors.affiliation: Department of Urology, Oita University Faculty of Medicine, Yufu, Oita, Japan. TAKE@ oita-u.ac.jp
authors.forename: Takeo
authors.initials: T
authors.lastname: Nomura
authors.forename: Mika
authors.initials: M
authors.lastname: Takahashi
authors.forename: Tadasuke
authors.initials: T
authors.lastname: Ando
authors.forename: Fuminori
authors.initials: F
authors.lastname: Sato
authors.forename: Sumie
authors.initials: S
authors.lastname: Fujii
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Mimata
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000601:surgery*; D000328:Adult; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D018813:Multiple Endocrine Neoplasia Type 2a / Q000473:pathology / Q000601:surgery*; D010235:Paraganglioma / Q000473:pathology / Q000601:surgery*; D010673:Pheochromocytoma / Q000473:pathology / Q000601:surgery*