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Ann Thorac Surg 1982;33:507-510
© 1982 The Society of Thoracic Surgeons

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Articles

Functioning Paraganglioma in the Posterior Mediastinum

From the School of Medicine, Tokai University, Kanagawa, Japan

Accepted for publication May 22, 1981.

^* Address reprint requests to Dr. Ogawa, First Department of Surgery, School of Medicine, Tokai University, 259-11 Bohseidai Isehara-shi, Kanagawa, Japan

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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