Functional paraganglioma with tumor thrombus in the inferior vena cava, first case report

Xue, Xiaoqiang; Wang, Dong; Xiao, Yunfeng; Ji, Zhigang; Xie, Yi

doi:10.21037/tau-21-50

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…Paragangliomas are further classified as functioning and non-functioning tumors. Functioning paragangliomas are manifested by the classic Menards triad: Cephalgia, Tachycardia and diaphoresis [1] , [2] , [4] , [6] , [8] , [11] , [13] , [16] . In our case symptoms were a result of catecholamine hypersecretion which included severe headache and transient loss of sight (complication of severe hypertension).…”

Section: Discussionmentioning

confidence: 99%

“…Once biochemical diagnosis is confirmed localization of the tumor with functional imaging such as 123- I-metaiodobenzyl guanidine (MIBG) scintigraphy is recommended (unavailable at our institute) [5] , [6] , [8] , [12] , [15] . Fine needle aspiration cytology must be avoided due to risk of simulating a hypertensive crisis [5] .…”

Section: Discussionmentioning

confidence: 99%

“…Clinical presentation includes hypertension, anxiety, palpitations, sweating and headache [7] . The definitive treatment of paragangliomas is surgical resection [6] , [8] . This is a case report of a patient who was managed at an academic hospital and the report is compliant with the SCARE guidelines 2020 [9] .…”

Section: Introductionmentioning

confidence: 99%

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Retroperitoneal paraganglioma in a young patient presenting with hypertensive crisis and transient loss of sight; a rare case report and literature review

Mulenga¹,

Kazuma²,

Nonde³

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Retroperitoneal paraganglioma in a young patient presenting with hypertensive crisis and transient loss of sight; a rare case report and literature review

Mulenga¹,

Kazuma²,

Nonde³

et al. 2022

International Journal of Surgery Case Reports

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“…Inferior vena cava (IVC) tumors may originate from the extension or infiltration of visceral malignancies such as renal cell carcinoma (RCC), transitional cell carcinoma (TCC), paraganglioma (PGL), uterine tumor, urothelial carcinoma, and hepatocellular carcinoma. [1][2][3][4] Vena cava involvement by intraluminal extension of tumor mass has been reported to occur in 4-10% of patients with renal neoplasms, and this involvement worsens the prognosis of RCC and other types of malignancies. 5 Given the poor response of most IVC tumors to chemo-or radiotherapy, the only potential curative and/or palliative treatment is surgical resection.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular surgical experiences of IVC tumor and thrombus: Operative strategies Based on 51 consecutive patients

Rahmanian

Badkoubeh

Rasouli

et al. 2023

Asian Cardiovasc Thorac Ann

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Background The only beneficial treatment option for the management of inferior vena cava (IVC) tumor thrombus is complete tumor removal. The aim of this study was to report our experience in surgical and clinical outcomes in patients with tumor thrombosis in IVC. Methods A retrospective chart review of patients who underwent surgical resection of IVC tumor at our institution over the past 10 years was performed. The patients were identified using a prospectively maintained database. Results We identified 51 patients, the mean age was 53.4 ± 16.8 years, and 25.4% were female. They were divided into three groups based on tumor thrombosis level. Twenty patients (39.2%) required sternotomy, and cardiopulmonary bypass (CPB) was used in 19 (37.2%) patients, and 2 (3.9%) cases underwent coronary artery bypass graft. The perioperative complications were severe bleeding (3 patients), pulmonary embolism (2 patients), and duodenal perforation (1 patient). Three (5.8%) in-hospital deaths occurred, and all were due to severe abdominal bleeding. After a mean follow-up time of 46.5 ± 42.0 months, 29 (56.9%) patients were alive. The mean survival time was 75.2 ± 8.4 months. In multivariate analysis, higher age ( p = 0.033) and male gender ( p = 0.033) proved to be independent prognostic factors. Conclusions Tumor thrombus extending to the IVC is a rare and challenging event. Although using CPB may be safe and result in long-term survival with acceptable function, excessive bleeding during surgery may limit the use of this method.

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Pheochromocytoma – A challenge to anesthetist

Doddipatla,

Deo,

Panda

et al. 2024

Journal of Integrative Medicine and Research

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Phaeochromocytoma is a catecholamine-secreting tumor of the sympathoadrenal system. It poses a significant challenge to the anesthesiologist, as sudden and intense hemodynamic changes are common in the preoperative and intraoperative periods. Preoperative optimization with sympatholytic drugs along with fluid resuscitation and intraoperative hemodynamic stability is essential for improved patient outcome. The anatomy of the tumor and proximity to major vasculature prove a challenge to anesthetists and surgeons alike. We are presenting a case of a 53-year-old male with a phaeochromocytoma of the right adrenal gland posted for laparoscopic right adrenalectomy, with the tumor mass compressing the inferior vena cava.

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Functional paraganglioma with tumor thrombus in the inferior vena cava, first case report

Cited by 3 publications

References 21 publications

Retroperitoneal paraganglioma in a young patient presenting with hypertensive crisis and transient loss of sight; a rare case report and literature review

Retroperitoneal paraganglioma in a young patient presenting with hypertensive crisis and transient loss of sight; a rare case report and literature review

Cardiovascular surgical experiences of IVC tumor and thrombus: Operative strategies Based on 51 consecutive patients

Pheochromocytoma – A challenge to anesthetist

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