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Open Access Case report

Resection of a malignant paraganglioma located behind the retrohepatic segment of the inferior vena cava

Changjun Jia1, Xinlu Wang2, Chaoliu Dai1*, Xianmin Bu1, Songlin Peng1, Feng Xu1, Yongqing Xu1 and Yang Zhao1

Author Affiliations

1 Department of General Surgery, China Medical University, 110004 Shenyang, Liaoning Province, P.R. China

2 Department of Ultrasound Medicine, Shengjing Hospital, China Medical University, 110004 Shenyang, Liaoning Province, P.R. China

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BMC Surgery 2013, 13:49  doi:10.1186/1471-2482-13-49

Published: 29 October 2013

Abstract

Background

Resection of a retrocaval paraganglioma is technically challenging due to limited tumor accessibility and proximity to the vena cava.

Case presentation

A large, malignant paraganglioma was found behind the retrohepatic segment of the inferior vena cava of a 60-year-old male. During resection of this rare paraganglioma, the left lateral lobe of the liver, a portion of the caudate lobe of the liver, and the gallbladder were also removed. Unfortunately, the patient died six months after surgery due to hepatic metastasis.

Conclusion

This case demonstrates that a partial hepatectomy may be necessary to improve tumor accessibility during resection of a retrocaval paraganglioma, particularly if the tumor is proximal to the vena cava. Furthermore, palliative treatments may help prevent tumor recurrence and metastasis of malignant paragangliomas.

Keywords:
Paraganglioma; Inferior vena cava; Partial hepatectomy; Malignant