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Related Experiment Video

Updated: Jun 5, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

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[Posterior mediastinal paraganglioma].

Yoshinari Matsuda1, Eiji Yatsuyanagi

  • 1Department of Chest Surgery, Obihiro Hospital, Obihiro, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 24, 2010
PubMed
Summary

A posterior mediastinal paraganglioma was incidentally found in an asymptomatic 26-year-old man via chest X-ray. Surgical resection was successful, with long-term follow-up essential due to unpredictable recurrence potential.

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[Primary Pulmonary Paraganglioma:Report of a Case].

Kyobu geka. The Japanese journal of thoracic surgery·2021

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Diagnostic Imaging

Background:

  • Posterior mediastinal paragangliomas are rare neuroendocrine tumors.
  • Early detection is crucial for successful management.
  • Incidental findings on routine screening can lead to diagnosis.

Observation:

  • A 26-year-old male presented with an asymptomatic left posterior mediastinal mass detected on chest X-ray.
  • Chest computed tomography (CT) revealed a strongly enhancing tumor.
  • Video-assisted thoracic surgery (VATS) with additional thoracoscopy was performed for resection.

Findings:

  • Histopathological examination confirmed a paraganglioma without evidence of malignancy.
  • The patient experienced an uneventful perioperative and postoperative course.
  • No signs of recurrence were observed during follow-up.

Implications:

  • This case highlights the utility of routine screening in detecting asymptomatic mediastinal tumors.
  • While VATS is feasible, careful surgical planning is needed for potential bleeding control.
  • Long-term surveillance is critical for paraganglioma management due to unpredictable metastatic potential.

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