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The Annals of Thoracic Surgery, Vol 33, 507-510, Copyright © 1982 by The Society of Thoracic Surgeons

ARTICLES

Functioning paraganglioma in the posterior mediastinum

J Ogawa, H Inoue, S Koide, S Kawada, A Shohtsu and J Hata

An unusual case of a functioning paraganglioma originating from the posterior mediastinum is reported. The main indications in the 21-year- old patient were hypertension and an abnormal roentgenogram of the chest. Blood and urine catecholamine assay confirmed the diagnosis of norepinephrine-secreting tumor, which was covered by the parietal pleura and attached to the sympathetic trunk. In the literature we could find reports of 25 patients with paraganglioma arising from the sympathetic trunk in the posterior mediastinum, 8 of whom had some symptoms and only 3 of whom were assayed for catecholamines. We diagnosed the present tumor as functioning aorticosympathetic paraganglioma according to the new classification and terminology suggested by Glenner and Grimley [1].

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