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Gangliocytic Paraganglioma of the Duodenum: A Masquerader.
- Source :
- Ochsner Journal; Sep2023, Vol. 23 Issue 3, p251-256, 6p
- Publication Year :
- 2023
-
Abstract
- Background: Gangliocytic paraganglioma (GP) is a rare tumor that most commonly arises from the duodenum and is characterized pathologically by 3 cell types: epithelioid, spindle, and ganglion cells. GP is often difficult to differentiate from a neuroendocrine tumor on the basis of preoperative imaging, and the diagnosis is based on final histopathologic and immunohistochemical analysis. Case Report: We report the case of a 28-year-old male who presented with pain in the abdomen, bilious vomiting, and weight loss. Imaging showed a mass involving the first and second part of the duodenum that was likely a neuroendocrine or gastrointestinal stromal tumor. He underwent robotic-assisted pancreatoduodenectomy, and the final pathology report identified GP with lymph node metastasis. The patient was doing well at 1-year follow-up. Conclusion: GP is often a histologic surprise as most cases are diagnosed in postoperative histopathology. While GP has a more benign course than a neuroendocrine tumor, radical surgical resection is warranted in cases of diagnostic dilemma, suspicion of malignancy, or lymph node metastasis. Robotic-assisted pancreatoduodenectomy is a feasible option. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15245012
- Volume :
- 23
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Ochsner Journal
- Publication Type :
- Academic Journal
- Accession number :
- 173110387
- Full Text :
- https://doi.org/10.31486/toj.23.0010