Asymptomatic Presacral Paraganglioma: Management of an Unpredictable Intraoperative Finding

Paragangliomas are rare neuroendocrine tumors originating from the embryological neural crest. We report a rare case of a patient with an asymptomatic presacral mass (incidentaloma) who experienced an unpredictable intraoperative hypertensive crisis after manipulation of the tumor. Presacral neoplas...

Descripción completa

Detalles Bibliográficos
Autores principales: Samara, Athina A., Diamantis, Alexandros, Symeonidis, Dimitrios, Anagnostou, Athanasios, Diamantis, Andreas Marios, Mavrovounis, Georgios, Tepetes, Konstantinos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326578/
https://www.ncbi.nlm.nih.gov/pubmed/32626824
http://dx.doi.org/10.1055/s-0040-1712545
_version_ 1783552374918348800
author Samara, Athina A.
Diamantis, Alexandros
Symeonidis, Dimitrios
Anagnostou, Athanasios
Diamantis, Andreas Marios
Mavrovounis, Georgios
Tepetes, Konstantinos
author_facet Samara, Athina A.
Diamantis, Alexandros
Symeonidis, Dimitrios
Anagnostou, Athanasios
Diamantis, Andreas Marios
Mavrovounis, Georgios
Tepetes, Konstantinos
author_sort Samara, Athina A.
collection PubMed
description Paragangliomas are rare neuroendocrine tumors originating from the embryological neural crest. We report a rare case of a patient with an asymptomatic presacral mass (incidentaloma) who experienced an unpredictable intraoperative hypertensive crisis after manipulation of the tumor. Presacral neoplasms pose a diagnostic and therapeutic challenge due to their obscure anatomical location and the difficulty in performing an R0 excision. Furthermore, the management of asymptomatic paragangliomas requires a high level of clinical suspicion and expertise due to potential life-threatening intraoperative complications.
format Online
Article
Text
id pubmed-7326578
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Thieme Medical Publishers
record_format MEDLINE/PubMed
spelling pubmed-73265782020-07-02 Asymptomatic Presacral Paraganglioma: Management of an Unpredictable Intraoperative Finding Samara, Athina A. Diamantis, Alexandros Symeonidis, Dimitrios Anagnostou, Athanasios Diamantis, Andreas Marios Mavrovounis, Georgios Tepetes, Konstantinos Surg J (N Y) Paragangliomas are rare neuroendocrine tumors originating from the embryological neural crest. We report a rare case of a patient with an asymptomatic presacral mass (incidentaloma) who experienced an unpredictable intraoperative hypertensive crisis after manipulation of the tumor. Presacral neoplasms pose a diagnostic and therapeutic challenge due to their obscure anatomical location and the difficulty in performing an R0 excision. Furthermore, the management of asymptomatic paragangliomas requires a high level of clinical suspicion and expertise due to potential life-threatening intraoperative complications. Thieme Medical Publishers 2020-06-30 /pmc/articles/PMC7326578/ /pubmed/32626824 http://dx.doi.org/10.1055/s-0040-1712545 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Samara, Athina A.
Diamantis, Alexandros
Symeonidis, Dimitrios
Anagnostou, Athanasios
Diamantis, Andreas Marios
Mavrovounis, Georgios
Tepetes, Konstantinos
Asymptomatic Presacral Paraganglioma: Management of an Unpredictable Intraoperative Finding
title Asymptomatic Presacral Paraganglioma: Management of an Unpredictable Intraoperative Finding
title_full Asymptomatic Presacral Paraganglioma: Management of an Unpredictable Intraoperative Finding
title_fullStr Asymptomatic Presacral Paraganglioma: Management of an Unpredictable Intraoperative Finding
title_full_unstemmed Asymptomatic Presacral Paraganglioma: Management of an Unpredictable Intraoperative Finding
title_short Asymptomatic Presacral Paraganglioma: Management of an Unpredictable Intraoperative Finding
title_sort asymptomatic presacral paraganglioma: management of an unpredictable intraoperative finding
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326578/
https://www.ncbi.nlm.nih.gov/pubmed/32626824
http://dx.doi.org/10.1055/s-0040-1712545
work_keys_str_mv AT samaraathinaa asymptomaticpresacralparagangliomamanagementofanunpredictableintraoperativefinding
AT diamantisalexandros asymptomaticpresacralparagangliomamanagementofanunpredictableintraoperativefinding
AT symeonidisdimitrios asymptomaticpresacralparagangliomamanagementofanunpredictableintraoperativefinding
AT anagnostouathanasios asymptomaticpresacralparagangliomamanagementofanunpredictableintraoperativefinding
AT diamantisandreasmarios asymptomaticpresacralparagangliomamanagementofanunpredictableintraoperativefinding
AT mavrovounisgeorgios asymptomaticpresacralparagangliomamanagementofanunpredictableintraoperativefinding
AT tepeteskonstantinos asymptomaticpresacralparagangliomamanagementofanunpredictableintraoperativefinding

Ejemplares similares