عنوان انگلیسی مقاله:
Retro-peritoneal paraganglioma, diagnosis and management
ترجمه فارسی عنوان مقاله:
paraganglioma یکپارچه صفاقی، تشخیص و مدیریت
Sciencedirect - Elsevier - Progres en Urologie, Corrected proof. doi:10.1016/j.purol.2018.06.003
O. Karray ∗, A. Saadi, M. Chakroun, H. Ayed, M. Cherif, A. Bouzouita, M.R.B. Slama, A. Derouiche, M. Chebil
Introduction. — Paragangliomas, defined as extra-adrenal chromaffin-cells tumors, are rarely
located in the retro-peritoneum. Clinical presentation is similar to pheochromocytoma, and
mainly depends on the producing character of the tumor. Positive diagnosis requires plasmatic
and urinary hormonal assays. Radiological and isotopic explorations are essential before surgery.
The only curative therapeutic strategy is surgical, associated to peri-operative prevention and
monitoring of the frequently reported hemodynamic and cardiovascular disorders. Outcome
depends of the metastatic character of the tumor, the presence of tumor remnant after surgi
cal resection. Genetic study is recommended; the risk of recurrence and association to other
neoplasm is more described in genetic forms.
Material and methods. — Authors report 5 cases of retro-peritoneal paraganglioma, operated
in the department of urology of Hospital, between 2013 and 2017. Observations are about
2 men and 3 women. Clinical presentation is not always specific and paraganglioma may be
discovered fortuitously. Two patients have been operated by coelioscopic approach, midline
incision was performed in two other cases, and dorsal lumbotomy associated to a Rutherford
Morrison incision in a patient.
KEYWORDS : Paraganglioma ; Retroperitoneal neoplasms ; Anesthesia ; Surgery