Multi-disciplinary surgery for simultaneous resection of multiple tumors in a patient with newly diagnosed metastatic pheochromocytoma/paraganglioma

Autor: Jibo Jing, Lingfeng Meng, Yaoguang Zhang, Runhua Tang, Haoran Wang, Jiaxing Ning, Xinhao Wang
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Cancer Pathogenesis and Therapy, Vol 1, Iss 4, Pp 290-294 (2023)
Druh dokumentu: article
ISSN: 2949-7132
DOI: 10.1016/j.cpt.2023.05.003
Popis: Metastatic pheochromocytoma/paraganglioma (MPP) is a rare endocrine tumor that originates from extra-adrenal chromaffin cells such as the paraganglia cells of sympathetic and parasympathetic nerves. It usually causes multiple solid tumors and exhibits strong aggressiveness with poor prognosis, with a reported 5-year survival rate of less than 50%. Cases of brain and retroperitoneal metastases at the initial diagnosis have not yet been reported. We report a 41-year-old male patient initially diagnosed with MPP in the brain and retroperitoneum who underwent multi-disciplinary collaborative surgery and simultaneous removal of two tumors at our center. Postoperative pathology revealed infiltrative growth of a skull base tumor. The patient chose to receive the tyrosine kinase inhibitor sunitinib as a targeted treatment. A 3-month follow-up after surgery showed that the patient recovered well without signs of metastasis or recurrence. We present multi-disciplinary surgery under similar circumstances for enhanced treatment and postoperative management. The patient demonstrates a favorable prognosis during postoperative follow-up, indicating that simultaneous multidisciplinary surgery may offer greater benefits for MPP patients.
Databáze: Directory of Open Access Journals