Simultaneous resection of endometrial cancer and high-level paraaortic paraganglioma using retroperitoneoscopic surgery
| Autor: | Tsuyoshi Kondo, Tsutomu Hoshiba, Harumichi Banno, Hiromasa Sasaki, Shinya Hirabuki, Kohshiro Nakao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Laparoscopic surgery medicine.medical_specialty Transperitoneal approach medicine.medical_treatment Simultaneous resection Case Report Paraganglioma 03 medical and health sciences 0302 clinical medicine Endometrial cancer Medicine Laparoscopy Retroperitoneal approach medicine.diagnostic_test business.industry Obstetrics and Gynecology medicine.disease Surgery Ganglion 030104 developmental biology medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis business |
| Zdroj: | Gynecologic Oncology Reports |
| ISSN: | 2352-5789 |
| Popis: | Paraganglioma is a rare, catecholamine-producing tumor that mostly arises from the paraaortic ganglion. In contrast, tumors that arise from the adrenal medulla are widely known as pheochromocytomas (Erickson et al., 2001). While some cases of paraganglioma are detected after manifestation of symptoms, including hypertension, hyperglycemia, and headache, others are discovered incidentally during preoperative imaging for other diseases; it is sometimes suspected as an alternative diagnosis for lymph node metastasis in gynecological malignancies (Chishima et al., 2010; Phillips et al., 1982). Currently, many types of endometrial cancer are treated by laparoscopic surgery (Walker et al., 2012). There are two different approaches to this surgery: a transperitoneal approach and a retroperitoneal approach, both are used for treating gynecologic malignancies (O'Hanlan et al., 2015). In the transperitoneal approach, it is necessary to place the organs such as the small intestine and omentum in the upper abdomen to allow for good exposure of the paraaortic area. The retroperitoneal approach, on the other hand, is advantageous since the retroperitoneal cavity can be reached without coming into contact with these organs. Besides gynecological malignancies, many adrenal tumors, including pheochromocytomas, are treated by a retroperitoneoscopic approach (Bittner et al., 2013). We report a case of endometrial cancer and high-level paraaortic paraganglioma that were resected using retroperitoneoscopic surgery without catecholamine-related complications. |
| Databáze: | OpenAIRE |
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