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Tracheal paraganglioma

Aleksandar Filipović, Ljiljana Vucković, Ljubica Pejakov
INTRODUCTION: Thyroid paraganglioma is a very rare malignant neuroendocrine tumor. Immunohistochemical features of thyroid paraganglioma are helpful for the diagnosis. CASE REPORT: A 69-year-old female came to hospital with the presence of a growing thyroid nodule of the left lobe. Ultrasonic neck examination showed 5 cm hypoechoic nodule in the left thyroid lobe. Thyroid scintigraphy showed a big cold nodule in the left lobe. Computed tomography (CT) scan showed left lobe thyroid tumor with tracheal deviation on the right site...
September 2014: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Emily Norder, Jessica Kynyk, Alessandra C Schmitt, Umair Gauhar, Shaheen Islam
Glomus tumors are uncommon soft tissue tumors that usually occur in the hands or feet but rarely have been described to appear in the tracheobronchial tree. Tracheal glomus tumors present with symptoms including cough, dyspnea, and wheezing that may be mistaken for other pulmonary disorders. Imaging and pulmonary function testing can detect tracheal obstruction, but pathology is necessary to differentiate glomus tumors from other airway tumors. On pathology, glomus tumors are made up of glomus cells, blood vessels, and smooth muscle and are classified based on the predominant cell type...
July 2012: Journal of Bronchology & Interventional Pulmonology
E Y Kim, T S Kim, J Han, H Kim, Y S Choi
The purpose of this article is to review the computed tomography (CT) and histopathological features of uncommon primary neoplasms of the thorax that can manifest clinically malignant features (multiplicity of pulmonary nodules, an invasive nature, and metastases or recurrence after surgery) with little evidence of histological malignancy.
November 2012: Clinical Radiology
Mark T Metzdorff, Joseph C Seaman, David A Opperman, Jeffrey J Goates, Ali I Musani
Paraganglioma of the trachea is a rare neoplasm, with fewer than 15 cases reported. A 40-year-old man presented with stridor and hemoptysis. Bronchoscopy demonstrated a tumor of the posterior trachea and biopsy initially suggested typical carcinoid. The patient underwent surgical resection uneventfully and made a good recovery. Final pathology disclosed the tumor to be a paraganglioma based on immunohistology. The pathophysiology and treatment of this tumor are discussed.
May 2012: Annals of Thoracic Surgery
W Torre, A Tamura, G Rabago, A Martin-Trenor
AIM: We report on nine highly selected patients in whom the resection of the tumor was only possible with cardiopulmonary bypass (CPB). METHODS: Between November 1996 and November 2009, nine patients with non-cardiac tumors underwent surgery under CPB. Indications were: infiltration of the pulmonary vein in the left atrium (four cases), one case where the tumor (a paraganglioma apparently located in the subcarinal space) was actually in the atrium wall, one mediastinal liposarcoma with massive infiltration of the pericardium and the main pulmonary artery, and three tracheal tumors (2 cylindromas and 1 carcinoid)...
June 2012: Journal of Cardiovascular Surgery
Michaele J Armstrong, Simon I Chiosea, Sally E Carty, Steven P Hodak, Linwah Yip
BACKGROUND: Thyroid paraganglioma (TP) is a very rare neoplasm that can be misdiagnosed. We evaluated the clinical and pathologic characteristics of three patients with TP. PATIENT FINDINGS: The records of all patients from 1981 to 2008 who had thyroidectomy with a final histologic diagnosis of TP were retrieved, and histology was reviewed by a single pathologist. Head and neck paragangliomas arising outside of the thyroid were excluded. TP accounted for 3 of all 6782 (0...
January 2012: Thyroid: Official Journal of the American Thyroid Association
Ayşegül Batıoğlu-Karaaltın, Mehmet Veli Karaaltın, Ilker Ersözlü, Harun Cansız
Paragangliomas are neuroendocrine tumors that originate from extra-adrenal chromaffin cells. The trachea is an unusual site for paragangliomas. A 29-years-old female was admitted to our clinic with complaints of recurrent hemoptysis and dyspnea, and a 1.5x1.3 cm mass in the posterior wall of the trachea, which was subsequently diagnosed as a paraganglioma. In this report, we presented the 11th case of tracheal paraganglioma, a rare benign tracheal tumor, and reviewed the medical literature.
July 2011: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
M I Davydov, R S Akchurin, S S Gerasimov, S L Dzemeshkevich, Ia B Brandt, I M Dolgov, I M Shestopalova
36 patients were operated on lung cancer (30), trachea (1), lung colon cancer metastases (1), left atrium paraganglioma, bronchogenic thymic cyst (1) and lung tuberculoma (2). Competing cardio-vascular diseases were as follows: coronary heart disease (30), valve failure (3) and critical stenosis of internal carotid artery (3). Simultaneous operations were performed in 13 (36.1%), consecutive - in 23 patients. Non-complicated postoperative period was registered in 19 patients. 6 of them had simultaneous surgery and 13 were operated on consecutively...
2010: Khirurgiia
Pierre-Yves Brichon, Olivier Chavanon, Philippe Chaffanjon, Frederic Thony, Nelly Wion-Barbot, Gilbert Ferretti
No abstract text is available yet for this article.
August 2010: Annals of Thoracic Surgery
Bjarki Ditlev Djurhuus, Annelise Solveig Krogdahl, Christian Godballe
Paraganglioma with tracheal location is a rare tumor. Twelve cases with involvement of the trachea have been reported in English literature, including six cases of solely tracheal paragangliomas. We present a case of a paraganglioma confined to the tracheal wall in a 33-year-old pregnant woman. The tumor was locally resected. Follow-up 17 months later showed no evidence of relapse. Based on the literature, we found that the most common symptoms are respiratory impairment and haemoptysis. None of the cases showed malignant behaviour...
July 5, 2010: Ugeskrift for Laeger
Muhammad Irshad Khan, Zaid Muhammad Aldhawi, Lamia Hasan Almaghrabi
This report describes stridor caused by a rare laryngeal tumour. The patient had presented to ENT with a midline neckmass and stridor of acute onset and diagnosed radiologically as a mass in the right lobe of thyroid gland in continuity with enhancing polypoidal mass in trachea at the same level. Total thyroidectomy along with the resection of the mass and tracheal ring was performed, trachea being anastomosed primarily. Histopathology reported it as a paraganglioma of the larynx. The patient has been followed-up for 5 years with no clinical or radiological recurrence of the tumour...
April 2010: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Bradley G Leshnower, Rohinton J Morris, Taine T V Pechet
Thoracic paragangliomas are rare tumors that arise from extra-adrenal chromaffin cells and have the capacity to secrete catecholamines. Surgical excision is the optimal treatment of these tumors as they are resistant to chemotherapy and radiation therapy. Although these tumors are most commonly found in the abdomen, 10% of paraganagliomas are located in the thorax, usually in the posterior mediastinum. Occasionally these tumors present in the anterior mediastinum, which can pose a significant surgical challenge due to the proximity of the great vessels and airway...
December 2007: Annals of Thoracic Surgery
Mercy George, Anoop Padoor Ayyappan, Rekha Cherian, Mary Kurien
No abstract text is available yet for this article.
August 2006: AJR. American Journal of Roentgenology
Peter G Michaelson, Craig B Fowler, Joseph Brennan
No abstract text is available yet for this article.
April 2005: Otolaryngology—Head and Neck Surgery
C Ma de la Linde, Ma I López, F Guerrero, J M Ortiz, P Mateo, J Nuñez
Laryngoscopy and tracheal intubation produce intense noxious stimuli and are associated with an adrenergic response that can be deleterious in patients with concomitant diseases. Illuminating stylets effectively aid blind intubation by lighting the trachea, and using such devices has been associated with lower incidences of sore throat, dysphonia, and adverse hemodynamic events in comparison with rigid laryngoscopy. We report the case of a female patient with a catecholamine-secreting vagal paraganglioma. She developed multiple hypertensive episodes that were difficult to control during surgical resection of the tumor...
October 2004: Revista Española de Anestesiología y Reanimación
Ricardo Ramina, Joao Jarney Maniglia, Yvens Barbosa Fernandes, Jorge Rizzato Paschoal, Leopoldo Nizan Pfeilsticker, Mauricio Coelho Neto, Guilherme Borges
OBJECT: Jugular foramen tumors are rare skull base lesions that present diagnostic and complex management problems. The purpose of this study was to evaluate a series of patients with jugular foramen tumors who were surgically treated in the past 16 years, and to analyze the surgical technique, complications, and outcomes. METHODS: The authors retrospectively studied 102 patients with jugular foramen tumors treated between January 1987 and May 2004. All patients underwent surgery with a multidisciplinary method combining neurosurgical and ear, nose, and throat techniques...
August 15, 2004: Neurosurgical Focus
Olgun Kadir Aribas, Fikret Kanat, Mustafa Cihat Avunduk
Paragangliomas are uncommon slow-growing neuroendocrine tumors that may arise from the extra-adrenal paraganglia. Paragangliomas of the inferior and superior laryngeal paraganglia are known as laryngeal paraganglioma. Inferior laryngeal paraganglioma, which is also called subglottic paraganglioma, is very seldomly observed. To our knowledge only 24 patients with subglottic paraganglioma have been found. We present a 77-year-old male patient who has been previously followed-up for cervical goiter, which has a progressive enlargement into the mediastinum, causing severe tracheal obstruction...
April 2004: European Journal of Cardio-thoracic Surgery
Riza Doğan, Mehmet Oç, Murat Ozkan, Murat Güvener, Lütfü Cöplü, Metin Demircin
Cardiopulmonary bypass (CPB) is a technique which is commonly performed without any problem in cardiac surgery. CPB can also be used in patients with a tumoral mass adherent to the great vessels, in patients with critically narrowed airway, if cross-table intubation of the distal trachea is not feasible and in patients necessitating re-do surgery with extensive adhesions because it allows extensive mobilization of the heart and great vessels without compromising their function. It also allowed the central pulmonary artery to be controlled without comprising oxygenation and complete resection of a tumor localized in the A-P window...
September 2003: Respiration; International Review of Thoracic Diseases
Robert Maisel, Derek Schmidt, Stefan Pambuccian
OBJECTIVES: To review the clinical and pathological picture of laryngeal paragangliomas and compare laryngeal paragangliomas with the three other types of laryngeal neuroendocrine neoplasms. STUDY DESIGN: The study presents a case review of a patient with a subglottic laryngeal paraganglioma treated at our institution, with a literature review of the laryngeal neuroendocrine neoplasms. Included is a review of all four neuroendocrine neoplasms, taking a close look at a comparison between laryngeal paragangliomas and atypical carcinoids tumors...
March 2003: Laryngoscope
T M Jones, D Alderson, J D Sheard, A C Swift
A 41-year-old man presented to his general practitioner (GP) with a wheeze and dyspnoea on exercise. Asthma was diagnosed and treatment with inhaled corticosteroid and a beta(2)-agonist commenced. Despite this, his condition deteriorated over three weeks culminating in stridor, requiring emergency admission to hospital. Nasendoscopy revealed a polypoidal lesion in the upper trachea, acting like a ball valve. A local anaesthetic tracheostomy, secured his airway. Subsequent direct laryngoscopy allowed avulsion of the lesion...
September 2001: Journal of Laryngology and Otology
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