Resection of a malignant paraganglioma located behind the retrohepatic segment of the inferior vena cava

BMC Surgery

Case Report

Feng Xu¹  Yang Zhao¹  Changjun Jia¹  Yongqing Xu¹  Songlin Peng¹  Chaoliu Dai¹  Xianmin Bu¹  Xinlu Wang² 

[1] Department of General Surgery, China Medical University, 110004, Shenyang, Liaoning Province, P.R. China;Department of Ultrasound Medicine, Shengjing Hospital, China Medical University, 110004, Shenyang, Liaoning Province, P.R. China;

关键词: Paraganglioma;    Inferior vena cava;    Partial hepatectomy;    Malignant;   

DOI  :  10.1186/1471-2482-13-49

 received in 2012-12-26, accepted in 2013-10-23,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundResection of a retrocaval paraganglioma is technically challenging due to limited tumor accessibility and proximity to the vena cava.Case presentationA large, malignant paraganglioma was found behind the retrohepatic segment of the inferior vena cava of a 60-year-old male. During resection of this rare paraganglioma, the left lateral lobe of the liver, a portion of the caudate lobe of the liver, and the gallbladder were also removed. Unfortunately, the patient died six months after surgery due to hepatic metastasis.ConclusionThis case demonstrates that a partial hepatectomy may be necessary to improve tumor accessibility during resection of a retrocaval paraganglioma, particularly if the tumor is proximal to the vena cava. Furthermore, palliative treatments may help prevent tumor recurrence and metastasis of malignant paragangliomas.

【 授权许可】

Unknown   
© Jia et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.