Giant retroperitoneal paraganglioma: Challenges of misdiagnosis and high surgical risks, a case report.

International Journal of Surgery Case Reports
Zhengbin HuangZhengqi Wu

Abstract

In surgery, misdiagnosis is not uncommon, usually a result of erroneous image interpretations and pathology diagnosis especially involving a tumor or cancer. Misdiagnosis may cause increased morbidity, mortality and surgical risks. A 49-year-old man presented for the second time with a right upper abdominal mass of 7 months. Previous CT scan of abdomen and exploratory surgery made the diagnosis of liver cancer. Two other tertiary hospitals drew the similar conclusions. At a cancer hospital the needle biopsy was suspicious for gastrointestinal stromal tumor, Imatinib was recommended but not started due to high cost. During this re-admission, the diagnosis of liver cancer or GIST was challenged. A high risk surgery was done with successive removal of a giant tumor. A final diagnosis of paraganlioma was made and the patient is now tumor free for 6 years. There are 4 lessons from this case. First, a paraganlioma may be misdiagnosed. Second, the misdiagnosis may be misled by CT scan and pathology. Third, a misdiagnosis can cause increased morbidity, mortality and surgical risks. Forth, massive intraoperative hemorrhage is a high risk of surgery. Careful clinical evaluation combined with pathology diagnosis may reduce the misdiagnosi...Continue Reading

References

Aug 8, 2008·Archives of Pathology & Laboratory Medicine·Arthur S Tischler
Feb 1, 2010·Clinical Journal of Gastroenterology·Shuichiro UchiyamaKazuo Chijiiwa
Apr 25, 2016·Abdominal Radiology·Andrew B Rosenkrantz, Neil K Bansal
Mar 14, 2017·The American Journal of Surgical Pathology·Markku MiettinenJerzy Lasota
Apr 1, 2017·The British Journal of Radiology·Seong Jong YunSung Eun Ahn
Jun 11, 2017·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Dara RasoalAnnica Kihlgren
Dec 2, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Lindsay P BusbyChristine M Glastonbury
Mar 13, 2018·AJR. American Journal of Roentgenology·Jason N Itri, Sohil H Patel
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group
Jul 24, 2020·International Journal of Surgery Case Reports·Koichi MohriTakehito Kato

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