{"title":"模拟睾丸癌肝门淋巴结转移的肾上腺外副神经节瘤一例研究。","authors":"Marina Nakatsuka, Satoshi Takamori, Takanobu Kabasawa, Shuichi Shimada, Makoto Endo, Satoshi Shiono","doi":"10.1111/1759-7714.70080","DOIUrl":null,"url":null,"abstract":"<p><p>Extra-adrenal paraganglioma is a rare tumor and is difficult to diagnose. We report a case of extra-adrenal paraganglioma in the hilum identified after treatment for multiple intrathoracic lymph node metastases from testicular cancer. A 32-year-old man presented to the hospital with a cough. Computed tomography revealed multiple lung tumors and intrathoracic lymph node swelling. The patient was diagnosed with left-sided testicular cancer with multiple intrathoracic metastases. A left orchiectomy was performed, followed by chemotherapy. A lung biopsy confirmed the absence of residual cancer. Three months after the lung biopsy, <sup>18</sup>F-fluorodeoxyglucose positron emission tomography/computed tomography revealed fluorodeoxyglucose uptake in the right hilum. Suspecting lymph node metastasis from testicular cancer, we performed tumor resection. Pathological findings diagnosed the lesion as a paraganglioma. Diagnosing extra-adrenal paraganglioma hidden by a primary tumor is highly challenging without complete remission of the primary tumor.</p>","PeriodicalId":23338,"journal":{"name":"Thoracic Cancer","volume":"16 9","pages":"e70080"},"PeriodicalIF":2.3000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046118/pdf/","citationCount":"0","resultStr":"{\"title\":\"Extra-Adrenal Paraganglioma Mimicking a Hilar Lymph Node Metastasis From Testicular Cancer: A Case Study.\",\"authors\":\"Marina Nakatsuka, Satoshi Takamori, Takanobu Kabasawa, Shuichi Shimada, Makoto Endo, Satoshi Shiono\",\"doi\":\"10.1111/1759-7714.70080\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Extra-adrenal paraganglioma is a rare tumor and is difficult to diagnose. We report a case of extra-adrenal paraganglioma in the hilum identified after treatment for multiple intrathoracic lymph node metastases from testicular cancer. A 32-year-old man presented to the hospital with a cough. Computed tomography revealed multiple lung tumors and intrathoracic lymph node swelling. The patient was diagnosed with left-sided testicular cancer with multiple intrathoracic metastases. A left orchiectomy was performed, followed by chemotherapy. A lung biopsy confirmed the absence of residual cancer. Three months after the lung biopsy, <sup>18</sup>F-fluorodeoxyglucose positron emission tomography/computed tomography revealed fluorodeoxyglucose uptake in the right hilum. Suspecting lymph node metastasis from testicular cancer, we performed tumor resection. Pathological findings diagnosed the lesion as a paraganglioma. Diagnosing extra-adrenal paraganglioma hidden by a primary tumor is highly challenging without complete remission of the primary tumor.</p>\",\"PeriodicalId\":23338,\"journal\":{\"name\":\"Thoracic Cancer\",\"volume\":\"16 9\",\"pages\":\"e70080\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046118/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Thoracic Cancer\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/1759-7714.70080\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Thoracic Cancer","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/1759-7714.70080","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}
Extra-Adrenal Paraganglioma Mimicking a Hilar Lymph Node Metastasis From Testicular Cancer: A Case Study.
Extra-adrenal paraganglioma is a rare tumor and is difficult to diagnose. We report a case of extra-adrenal paraganglioma in the hilum identified after treatment for multiple intrathoracic lymph node metastases from testicular cancer. A 32-year-old man presented to the hospital with a cough. Computed tomography revealed multiple lung tumors and intrathoracic lymph node swelling. The patient was diagnosed with left-sided testicular cancer with multiple intrathoracic metastases. A left orchiectomy was performed, followed by chemotherapy. A lung biopsy confirmed the absence of residual cancer. Three months after the lung biopsy, 18F-fluorodeoxyglucose positron emission tomography/computed tomography revealed fluorodeoxyglucose uptake in the right hilum. Suspecting lymph node metastasis from testicular cancer, we performed tumor resection. Pathological findings diagnosed the lesion as a paraganglioma. Diagnosing extra-adrenal paraganglioma hidden by a primary tumor is highly challenging without complete remission of the primary tumor.
期刊介绍:
Thoracic Cancer aims to facilitate international collaboration and exchange of comprehensive and cutting-edge information on basic, translational, and applied clinical research in lung cancer, esophageal cancer, mediastinal cancer, breast cancer and other thoracic malignancies. Prevention, treatment and research relevant to Asia-Pacific is a focus area, but submissions from all regions are welcomed. The editors encourage contributions relevant to prevention, general thoracic surgery, medical oncology, radiology, radiation medicine, pathology, basic cancer research, as well as epidemiological and translational studies in thoracic cancer. Thoracic Cancer is the official publication of the Chinese Society of Lung Cancer, International Chinese Society of Thoracic Surgery and is endorsed by the Korean Association for the Study of Lung Cancer and the Hong Kong Cancer Therapy Society.
The Journal publishes a range of article types including: Editorials, Invited Reviews, Mini Reviews, Original Articles, Clinical Guidelines, Technological Notes, Imaging in thoracic cancer, Meeting Reports, Case Reports, Letters to the Editor, Commentaries, and Brief Reports.