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  • Title: Surgical treatment for a rare case of duodenal gangliocytic paraganglioma accompanied with lymph node metastasis.
    Author: Miyazaki T, Takemura N, Mihara F, Ito K, Miyazaki H, Igari T, Kokudo N.
    Journal: Clin J Gastroenterol; 2022 Aug; 15(4):712-716. PubMed ID: 35513688.
    Abstract:
    We report a rare case of duodenal gangliocytic paraganglioma accompanied with lymph node metastasis. An asymptomatic 58-year-old woman was admitted for the evaluation of abnormal liver enzyme test results. Abdominal computed tomography and upper gastrointestinal endoscopy revealed a 27-mm pedunculated tumor of the papilla of Vater. Adenocarcinoma of the papilla with muscularis propria invasion was suspected; therefore, pancreaticoduodenectomy with lymph node dissection was performed. There were no perioperative complications. A definitive diagnosis of gangliocytic paraganglioma of the papilla of Vater with lymph node metastases was confirmed by pathological examinations, which is a rare condition. The patient was discharged on her 16th postoperative day, and no recurrence or metastases were identified during the 18-month follow-up period. We herein discuss the surgical treatment for this rare case and present a review of related literature.
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