A Case of Nonfunctional Paraganglioma of Retroperitonium

Jang, B K; Lee, J H; Ku, B S; Kim, C B; Yang, H D; Song, I C

Abstract

Paraganglioma of the organ of Zuckerkandl is a rare retroperitoneal tumor that arises from the para-aortic paraganglioma around the origin of the inferior mesenteric artery. Because of relatively indolent growth characteristics and no reliable histopathologic features distinguishing malignant paraganglioma, complete surgical resection and prolonged follow up are indicated. Surgery should be aimed at complete removal, since adjunctive radiotherapy and chemotherapy can only be considered palliative measures. We present a case of paraganglioma arising from the organ of Zuckerkandl. The patient was 68-year-old woman with the complaint of palpable mass in the left lower abdomen for three years. The mass, measuring 19x16x12 cm and weighing 2500 gm, was completely resected by means of a transperitoneal approach and proved to be a paraganglioma pathologically. We experienced a case of nonfunctional paraganglioma arising in retroperitoneum and report the case with a brief review of the literature.