<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Gangliocytic paraganglioma (GP) is an uncommon finding in the periampullary region of the duodenum. In the Department of General and Digestive Surgery of the Albacete University Hospital Complex, a 45-years-old patient was diagnosed with a 17x13mm hypervascular nodular lesion in the descending part of the duodenum during an examination for hepatic hemangiomas. Ampullectomy was performed, followed by a favourable postoperative period. Histological analysis proved GP. There were no involvement of lymph nodes and a malignancy potential, so the clinical and radiological follow-up opted. In conclusion, because such tumours have unpredictable behavior, we recommend local resection of the tumour, except in cases in which local or ganglionic progression is suspected or confirmed, and thus cephalic pancreaticoduodenectomy (CPD) and lymphadenectomy are suggested.</p></abstract>

Gangliocytic paraganglioma (GP) is an uncommon finding in the periampullary region of the duodenum. In the Department of General and Digestive Surgery of the Albacete University Hospital Complex, a 45-years-old patient was diagnosed with a 17x13mm hypervascular nodular lesion in the descending part of the duodenum during an examination for hepatic hemangiomas. Ampullectomy was performed, followed by a favourable postoperative period. Histological analysis proved GP. There were no involvement of lymph nodes and a malignancy potential, so the clinical and radiological follow-up opted. In conclusion, because such tumours have unpredictable behavior, we recommend local resection of the tumour, except in cases in which local or ganglionic progression is suspected or confirmed, and thus cephalic pancreaticoduodenectomy (CPD) and lymphadenectomy are suggested.

A Case Report of Duodenal Gangliocytic Paraganglioma – Is Duodenopancreatectomy Necessary?

Department of General and Digestive Surgery

Department of General and Plastic Surgery

Journal of Biomedical and Clinical Research

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Gangliocytic paraganglioma (GP) is an uncommon finding in the periampullary region of the duodenum. In the Department of General and Digestive Surgery of the...

A Case Report of Duodenal Gangliocytic Paraganglioma – Is Duodenopancreatectomy Necessary?

Data publikacji: 26 gru 2019

Zakres stron: 72 - 75

Otrzymano: 21 kwi 2019

Przyjęty: 30 lip 2019

DOI: https://doi.org/10.2478/jbcr-2019-0012

Słowa kluczowe
gangliocytic paraganglioma, duodenum, periampullary region, ampullectomy, lymph nodes

© 2019 Antonio Serafin Valero-Liiian et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

A Case Report of Duodenal Gangliocytic Paraganglioma – Is Duodenopancreatectomy Necessary?

Data publikacji: 26 gru 2019

Zakres stron: 72 - 75

Otrzymano: 21 kwi 2019

Przyjęty: 30 lip 2019

DOI: https://doi.org/10.2478/jbcr-2019-0012

Słowa kluczowegangliocytic paraganglioma, duodenum, periampullary region, ampullectomy, lymph nodes

© 2019 Antonio Serafin Valero-Liiian et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Słowa kluczowe
gangliocytic paraganglioma, duodenum, periampullary region, ampullectomy, lymph nodes