title: Gangliocytic paraganglioma treated with ampullectomy, A case report.
abstract: BACKGROUND
  Gangliocytic paragangliomas are rare, and typically benign neuroendocrine neoplasms usually found in the second portion of the duodenum. Though recurrence is rare, metastatic cases have been noted. A standardized treatment has not been determined. An endoscopic resection can be carried out, unless metastasis has been noted. We present the case of a patient who underwent an ampullectomy, with successful removal of the tumor, and no recurrence on follow-up.
  
  
  METHODS
  We present a case involving a 58-year-old gentleman, who presented with dysphagia, and ultimately diagnosed with a periampullary mass proven to be a gangliocytic paraganglioma. The tumor was resected in-toto via an ampullectomy. The patient had no recurrence after twenty-one months.
  
  
  CONCLUSIONS
  In conclusion, we present the case of an incidental gangliocytic paraganglioma occurring in the periampullary region of the patient. Ampullectomy was carried out and to date the patient has had no recurrence. Rarity of this tumor, along with treatment choice, makes it especially worthy of notability.
authors.affiliation: St. Joseph Mercy Oakland Hospital, 44405 Woodward Ave, Pontiac, MI, 48341, USA.
authors.forename: Mina
authors.initials: M
authors.lastname: Guerges
authors.affiliation: St. Joseph Mercy Oakland Hospital, 44405 Woodward Ave, Pontiac, MI, 48341, USA.
authors.forename: Eliza
authors.initials: E
authors.lastname: Slama
authors.affiliation: St. Joseph Mercy Oakland Hospital, 44405 Woodward Ave, Pontiac, MI, 48341, USA.
authors.forename: Bashar
authors.initials: B
authors.lastname: Maskoni
authors.affiliation: St. Joseph Mercy Oakland Hospital, 44405 Woodward Ave, Pontiac, MI, 48341, USA.
authors.forename: Sherwin
authors.initials: S
authors.lastname: Imlay
authors.affiliation: St. Joseph Mercy Oakland Hospital, 44405 Woodward Ave, Pontiac, MI, 48341, USA.
authors.forename: Malik
authors.initials: M
authors.lastname: McKany
keywords: Ampullectomy; Case report; Gangliocytic paraganglioma; Neuroendocrine tumor; Peri-ampullary