CASE OF NONCHROMAFFIN PARAGANGLIOMA

THESE interesting tumors, which presumably arise from the adventitia of the jugular bulb in the floor of the mastoid antrum and also possibly from other paraganglionic cells that occur in the middle ear, went unrecognized until 1945, when Rosenwasser, of New York, described the first case. Since then, further cases have been described from time to time, but they are still by no means common. In the classical review by Lattes and Waltner, inCancer, May, 1949, in which eight more cases were reported, it was suggested that the original descriptions as carotid body-like tumor and glomus jugulare tumor be jettisoned in favor of the more correct name of nonchromaffin paraganglioma. The case reported below, which presented certain quite characteristic features, is the first known to have occurred at St. Luke's Hospital in New York. REPORT OF CASE The patient was a Negro woman, aged 46, in apparently good health