Totally Laparoscopic Resection of a Large Retroperitoneal Paraganglioma in an Older Patient: A Case Report on Precise Diagnosis and Perioperative Management.

ABSTRACT:

Introduction

Paraganglioma is an extra-adrenal pheochromocytoma that requires surgical resection with strict perioperative management because of its catecholamine-producing nature. We report a case of successful laparoscopic resection of a large retroperitoneal paraganglioma in an older patient.

Case presentation

An 80-year-old man was diagnosed with hypertension during a routine health checkup. Elevated plasma metanephrine and normetanephrine levels, along with radiological findings of a 6.5-cm tumor with ¹²³I-metaiodobenzylguanidine accumulation anterior to the aorta, confirmed the diagnosis of retroperitoneal paraganglioma. Surgical resection was planned accordingly. Preoperative optimization with a selective α1 blocker was conducted over 2 months, and intraven

SUBMITTER: Yambe K 

PROVIDER: S-EPMC12503606 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature