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Clinical Image
Paraganglioma in an unusual site
Paraganglioma de localización infrecuente
Paula Mascarell Arlandisa, Lucía Zamora Molinab,
Corresponding author
lucia_lzjc@hotmail.com

Corresponding author.
, Juan Manuel Córcoles Padillac
a Servicio de Medicina Interna, Hospital General Universitario de Elche, Elche, Spain
b Sección de Neumología, Hospital General Universitario de Elche, Elche, Spain
c Servicio de Cirugía Torácica, Hospital Universitario del Vinalopó, Elche, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 74-year-old woman was referred to the respiratory medicine department with an incidental finding of a mediastinal mass on a chest X-ray &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#41;&#46; She was asymptomatic and the physical examination showed no findings of interest&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">A chest CT scan revealed a hypervascularized mass measuring 48&#8239;&#215;&#8239;43&#8239;mm in the mediastinum displacing the trachea&#44; esophagus&#44; ascending aorta&#44; and right hilum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#44; so a differential diagnosis was performed between paraganglioma&#44; Castleman disease&#44; vascular malformations&#44; and metastases&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">An octreotide scan and a functional study were subsequently performed&#44; establishing a diagnosis of non-functioning paraganglioma of the mediastinum&#46; Surgical resection was performed via middle sternotomy &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>c&#41; with pre-embolization&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Paraganglioma is a neuroendocrine tumor that originates in the extra-adrenal sympathetic-associated chromaffin cells&#46; It may be asymptomatic or present with symptoms caused by catecholamine secretion &#40;palpitations&#44; arterial hypertension&#44; etc&#46;&#41;&#46; The mediastinum&#44; where it derives from paraaortic and paravertebral ganglionar chains&#44; is an unusual site&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The unusual feature of this case was its location&#44; which increased the surgical complexity and required a differential diagnosis from among the various hypervascularized mediastinal masses&#46;</p></span>"
    "pdfFichero" => "main.pdf"
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    "fechaRecibido" => "2019-07-04"
    "fechaAceptado" => "2019-10-15"
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        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Arlandis PM&#44; Molina LZ&#44; Padilla JMC&#46; Paraganglioma de localizaci&#243;n infrecuente&#46; Arch Bronconeumol&#46; 2020&#59;57&#58;70&#46;</p>"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; Image of the mediastinal mass on chest X-ray&#46; &#40;b&#41; Image of chest CT showing the mass in the middle mediastinum&#46; &#40;c&#41; Paraganglioma during surgery&#44; seen in the center of the image&#46; The trachea is located at the top and the innominate vein is above it&#46; The aorta is on the right and the pulmonary artery trunk below&#46;</p>"
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      "titulo" => "References"
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        0 => array:2 [
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            0 => array:3 [
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              "etiqueta" => "1"
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                0 => array:2 [
                  "contribucion" => array:1 [
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46;C&#46; Cabral"
                            1 => "B&#46; Trotman-Dickenson"
                            2 => "R&#46; Madan"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
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                      "Revista" => array:7 [
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                        "fecha" => "2015"
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                        "paginaInicial" => "489"
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                        "link" => array:1 [
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                            "web" => "Medline"
                          ]
                        ]
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                    ]
                  ]
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                      "autores" => array:1 [
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                          "autores" => array:5 [
                            0 => "M&#46;L&#46; Brown"
                            1 => "G&#46;E&#46; Zayas"
                            2 => "M&#46;D&#46; Abel"
                            3 => "W&#46;F&#46; Young Jr"
                            4 => "H&#46;V&#46; Schaff"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                            "web" => "Medline"
                          ]
                        ]
                      ]
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                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Cunha"
                            1 => "J&#46;P&#46; Vieira"
                            2 => "E&#46;G&#46; Schmaltz"
                            3 => "T&#46; Barcelos"
                            4 => "W&#46; Alves"
                          ]
                        ]
                      ]
                    ]
                  ]
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                          ]
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              ]
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          ]
        ]
      ]
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    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack510687"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0030" class="elsevierStylePara elsevierViewall">We thank Dr Soler for the idea and Dr Garc&#237;a Pach&#243;n for helping us develop it&#46;</p>"
        "vista" => "all"
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    ]
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Article information
ISSN: 15792129
Original language: English
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