Preoperative embolization in the management of a non-functioning mediastinal paraganglioma

Ilgaz Doğusoy; Fikri Yapıcı; M. Olcay Çizmeli; Hatice Demirbağ; Mehmet Yıldırım

doi:10.5606/tgkdc.dergisi.2013.5826

Ilgaz Doğusoy¹, Fikri Yapıcı², M. Olcay Çizmeli³, Hatice Demirbağ¹, Mehmet Yıldırım¹

¹Department of Thoracic Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
²Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
³Department of Radiology, Acıbadem University, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2013.5826

Paragangliomas are rare tumors of the mediastinum. Complete surgical resection is the only effective treatment modality, although it is challenging due to the location of the tumor around great vessels and hypervascularity characteristics of tumor. In this article, we report a 37-year-old female case with paraganglioma in the middle mediastinum detected incidentally by radiological imaging. The tumor was inactive; however, severe bleeding occurred in the initial diagnostic thoracotomy. The tumor was resected successfully after selective embolization. Following complete resection, the patient followed for five years with no recurrence.

Keywords : Mediastinum; paraganglioma; therapeutic embolization

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