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Year : 2020  |  Volume : 3  |  Issue : 1  |  Page : 38-41

A rare case report of anterior mediastinal paraganglioma presenting as superior venacaval obstruction

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DOI: 10.4103/WKMP-0215.309211

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A 44 year old male, a chronic smoker presented with of hoarseness of voice for 5 years, loss of weight for 3 months, breathlessness for 10 days. Physical examination showed dilated veins over the anterior chest wall. CT chest revealed a mass extending from the lower part of the neck to the anterior mediastinum displacing and compressing the trachea and vascular structures. CT guided biopsy of the mass lesion led to the diagnosis of anterior mediastinal paraganglioma. Since the tumour was unresectable at the time of presentation, surgery was deferred and he underwent radiotherapy. In due course of time patient succumbed to the disease and expired 4 months after diagnosis. This case is being reported due to rarity of the disease. Mediastinal paraganglioma accounts for only about 2% of the paraganglioma, and we report a case of anterior mediastinal paraganglioma with superior venacaval obstruction which is exceptionally rare.

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