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Imagen Clínica
Paraganglioma de localización infrecuente
Paraganglioma in an Unusual Site
Paula Mascarell Arlandisa, Lucía Zamora Molinab,
Corresponding author
lucia_lzjc@hotmail.com

Autor para correspondencia.
, Juan Manuel Córcoles Padillac
a Servicio de Medicina Interna, Hospital General Universitario de Elche, Elche, Alicante, España
b Sección de Neumología, Hospital General Universitario de Elche, Elche, Alicante, España
c Servicio de Cirugía Torácica, Hospital Universitario del Vinalopó, Elche, Alicante, España
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          "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">a&#41; Imagen de la masa mediast&#237;nica en la radiograf&#237;a de t&#243;rax&#46; b&#41; Imagen de la TC tor&#225;cica en la que se visualiza la masa en mediastino medio&#46; c&#41; Imagen del paraganglioma durante la intervenci&#243;n quir&#250;rgica en el centro de la imagen&#46; La tr&#225;quea se sit&#250;a en su parte superior y la vena innominada superior a esta&#46; A la derecha se encuentra la arteria aorta y en la parte inferior el tronco arterial pulmonar&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Se remite a neumolog&#237;a una mujer de 74 a&#241;os por el hallazgo incidental de una masa mediast&#237;nica en una radiograf&#237;a de t&#243;rax &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>a&#41;&#46; La paciente estaba asintom&#225;tica y la exploraci&#243;n f&#237;sica no mostraba hallazgos de inter&#233;s&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Se realiz&#243; una TC tor&#225;cica en la que se objetiv&#243; una masa hipervascularizada en mediastino medio de 48<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>43<span class="elsevierStyleHsp" style=""></span>mm que desplazaba la tr&#225;quea&#44; el es&#243;fago&#44; la aorta ascendente y el hilio derecho &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>b&#41;&#44; por lo que se realiz&#243; el diagn&#243;stico diferencial entre paraganglioma&#44; enfermedad de Castleman&#44; malformaciones vasculares y met&#225;stasis<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Posteriormente&#44; se realiz&#243; una gammagraf&#237;a con octre&#243;tido y un estudio funcional con los cuales se estableci&#243; el diagn&#243;stico de paraganglioma no funcionante de mediastino medio y se decidi&#243; su resecci&#243;n quir&#250;rgica mediante esternotom&#237;a media &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>c&#41; con embolizaci&#243;n previa&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">El paraganglioma es un tumor neuroendocrino derivado de c&#233;lulas cromafines del sistema simp&#225;tico extraadrenal que puede cursar asintom&#225;tico o con s&#237;ntomas derivados de la secreci&#243;n de catecolaminas &#40;palpitaciones&#44; hipertensi&#243;n arterial&#44; etc&#46;&#41;&#46; Es infrecuente en mediastino donde deriva de cadenas ganglionares paraa&#243;rticas y paravertebrales<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">2&#44;3</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">La particularidad de este caso fue su localizaci&#243;n que supuso una mayor complejidad quir&#250;rgica y requiri&#243; un amplio diagn&#243;stico diferencial entre las masas hipervascularizadas de mediastino medio&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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