Department of Anesthesiology and Pain Medicine, College of Medicine, Inha University, Incheon, Korea.
Korean J Anesthesiol. 2012 Mar;62(3):289-92. doi: 10.4097/kjae.2012.62.3.289. Epub 2012 Mar 21.
Although paraganglioma (PGL), an extra-adrenal retroperitoneal pheochromocytoma (PHEO), is a rare catecholamine-secreting neuroendocrine tumor, it can cause severe hypertensive crisis during anesthesia or surgery if undiagnosed preoperatively. Extraluminal perigastric masses may be presumed to be gastrointestinal stromal tumors (GISTs) or soft tissue sarcomas even when histologic confirmation is not possible. Therefore, without a histologic diagnosis or symptoms of excessive catecholamine secretion, PGL may be mistaken for GIST. We report a case of preoperatively undiagnosed PGL which caused hypertensive crisis during anesthesia for retroperitoneal mass excision.
虽然副神经节瘤（PGL）是一种罕见的肾上腺外腹膜后嗜铬细胞瘤（PHEO），但如果术前未诊断，它可能在麻醉或手术期间引起严重的高血压危象。即使无法进行组织学确认，胃外的胃周肿块也可能被认为是胃肠道间质瘤（GIST）或软组织肉瘤。因此，在没有组织学诊断或过量儿茶酚胺分泌症状的情况下，PGL 可能被误诊为 GIST。我们报告了一例术前未诊断的 PGL 病例，该病例在腹膜后肿块切除的麻醉期间引起了高血压危象。
