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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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Mesenteric Paraganglioma: An Unusual Suspect To Consider
Andreia Martins Fernandes1, Raquel Prata Saraiva2, Leandro Augusto Silva1
1Endocrinology, Portuguese Institute of Oncology of Coimbra, Coimbra, PRT.
Cureus
|November 7, 2024
Summary
Mesenteric paragangliomas (PGLs) are rare tumors. This case highlights the diagnostic challenges and emphasizes surgical management and long-term follow-up for these rare mesenteric masses.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Mesenteric paragangliomas (PGLs) are exceptionally rare neuroendocrine tumors.
- They often present asymptomatically or with non-specific symptoms like abdominal pain.
Observation:
- A 48-year-old male presented with severe abdominal pain, later found to have a mesenteric mass.
- Preoperative diagnostics, including biopsy, could not definitively distinguish between an epithelial neuroendocrine tumor and a paraganglioma.
Findings:
- Histopathological examination of the resected surgical specimen confirmed the diagnosis of a paraganglioma.
- The patient remains asymptomatic with no signs of metastasis after two years of follow-up.
Implications:
- Mesenteric paragangliomas require consideration in the differential diagnosis of mesenteric masses.
- Surgical resection is the primary treatment, necessitating lifelong monitoring for potential recurrence or metastasis.
