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BMC Surg. 2013 Oct 29;13:49. doi: 10.1186/1471-2482-13-49.

Resection of a malignant paraganglioma located behind the retrohepatic segment of the inferior vena cava.

Author information

1
Department of General Surgery, China Medical University, 110004 Shenyang, Liaoning Province, P,R, China. daicl_sj@163.com.

Abstract

BACKGROUND:

Resection of a retrocaval paraganglioma is technically challenging due to limited tumor accessibility and proximity to the vena cava.

CASE PRESENTATION:

A large, malignant paraganglioma was found behind the retrohepatic segment of the inferior vena cava of a 60-year-old male. During resection of this rare paraganglioma, the left lateral lobe of the liver, a portion of the caudate lobe of the liver, and the gallbladder were also removed. Unfortunately, the patient died six months after surgery due to hepatic metastasis.

CONCLUSION:

This case demonstrates that a partial hepatectomy may be necessary to improve tumor accessibility during resection of a retrocaval paraganglioma, particularly if the tumor is proximal to the vena cava. Furthermore, palliative treatments may help prevent tumor recurrence and metastasis of malignant paragangliomas.

PMID:
24164783
PMCID:
PMC3840563
DOI:
10.1186/1471-2482-13-49
[Indexed for MEDLINE]
Free PMC Article
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