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Korean J Pancreas Biliary Tract > Volume 16(2):2011 > Article
The Korean Journal of Pancreas and Biliary Tract 2011;16(2):149-153.
췌장의 악성 종양으로 오인한 낭성 후복막강 부신경절종 1예
송용근, 박선만, 김영진, 김재현, 최민호, 장현주, 계세협, 이진
한림대학교 의과대학 내과학교실
Retroperitoneal Paraganglioma Misdiagnosed as Pancreatic Head Cancer: A Case Report
Young Keun Song, Sun Man Park, Young Jin Kim, Jae Hyun Kim, Min Ho Choi, Hyun Joo Jang, Sea Hyub Kae, Jin Lee
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
ABSTRACT
Retroperitoneal paragangliomas are rare neoplasm of a neural crest origin. They are developed at various body sites and most are located in the para-aortic space along the sympathetic chain. Pancreas, mesentery are very rare sites for paraganglioma. It is necessary to rule out the possibility of paragaglioma that is no characteristic symptom and radiologic finding. We experienced a case of paraganglioma misdiagnosed as pancreatic head cancer. A 58 year-old male admitted for a pancreas head mass detected by abdominal sonography. It showed a cystic mass stuck on the head of pancreas. The mass was located in retroperitoneal space and dissected from surrounding structure. Microscopically, the tumor cells were arranged in a Zellballen pattern. It was diagnosed as a cystic retroperitoneal paraganglioma.
Keywords: Paraganglioma, Retroperitoneum, Pancreatic neoplasm
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