Long-Term Survival of Bifocal Paraganglioma: A Case Report

Paragangliomas are sympathetic and parasympathetic para-ganglia neuroendocrine tumors of the autonomic nervous system. We analyzed a bifocal paraganglioma case of a 52-year-old patient in December 2013 with hearing loss and right ear pain, headaches, episodes of vomiting, and abdominal pain ten mont...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-04, Vol.16 (4), p.e59048
Main Authors: Mouhib, Nourelhouda, Benhjar, Fatima, Berhili, Soufiane, Moukhlissi, Mohamed, Mezouar, Loubna
Format: Article
Language:English
Subjects:
Abdomen
Acids
Case reports
Catecholamines
Creatinine
Head & neck cancer
Magnetic resonance imaging
Medical imaging
Medical prognosis
Metastasis
Patients
Radiation Oncology
Radiation therapy
Radiology
Tinnitus
Tumors
Vomiting
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Summary:Paragangliomas are sympathetic and parasympathetic para-ganglia neuroendocrine tumors of the autonomic nervous system. We analyzed a bifocal paraganglioma case of a 52-year-old patient in December 2013 with hearing loss and right ear pain, headaches, episodes of vomiting, and abdominal pain ten months before her medical consultation. The diagnosis of a right tympano-jugular glomus paraganglioma was based on cerebral magnetic resonance imaging and treated with radiotherapy. In 2016, the patient presented with worsening digestive symptoms; therefore, a second mesocolic localization was suspected by abdominal computed tomography and was histologically confirmed on the resection specimen of the mass. The surgery was the only treatment. After a follow-up of 11 years, the patient remained in good condition. Paraganliomas are rare tumors, their bifocal location in our patient represents an even rarer entity. Given the nonspecific symptomatology, the diagnosis of the retroperitoneal location simultaneously with that of the head and neck was difficult. Our objective is to emphasize the staging workup for paraganglioma, although it is mostly a benign tumor with slow growth.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.59048