Misumi Y, Fujisawa T, Hashimoto H, Kagawa K, Noie T, Chiba H, Horiuchi H, Harihara Y, Matsuhashi N. Pancreatic paraganglioma with draining vessels. World J Gastroenterol 2015; 21(31): 9442-9447 [PMID: 26309372 DOI: 10.3748/wjg.v21.i31.9442]
Corresponding Author of This Article
Toshio Fujisawa, MD, PhD, Department of Gastroenterology, NTT Medical Center Tokyo, 5-9-22 Higashi-Gotanda, Shinagawa, Tokyo 141-8625, Japan. toshio.fujisawa@east.ntt.co.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yoshitsugu Misumi, Toshio Fujisawa, Koichi Kagawa, Nobuyuki Matsuhashi, Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo 141-8625, Japan
Hirotsugu Hashimoto, Hajime Horiuchi, Department of Pathology, NTT Medical Center Tokyo, Tokyo 141-8625, Japan
Tamaki Noie, Yasushi Harihara, Department of Surgery, NTT Medical Center Tokyo, Tokyo 141-8625, Japan
Hideyuki Chiba, Department of Gastroenterology, Omori Red Cross Hospital, Tokyo 141-8625, Japan
Author contributions: Misumi Y, Fujisawa T, Kagawa K, Chiba H and Matsuhashi N contributed to examinations for the disease; Hashimoto H and Horiuchi H contributed to pathological diagnosis; Noie T and Harihara Y contributed to tumour resection by surgery; Misumi Y, Fujisawa T and Matsuhashi N contributed to writing the manuscript; all authors finally approved the authorship.
Institutional review board statement: The study was reviewed and approved by the NTT Medical Center Tokyo Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors have no known conflicts of interest associated with this case report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Toshio Fujisawa, MD, PhD, Department of Gastroenterology, NTT Medical Center Tokyo, 5-9-22 Higashi-Gotanda, Shinagawa, Tokyo 141-8625, Japan. toshio.fujisawa@east.ntt.co.jp
Telephone: +81-3-34486111 Fax: +81-3-34486541
Received: April 9, 2015 Peer-review started: April 9, 2015 First decision: April 23, 2015 Revised: May 11, 2015 Accepted: June 26, 2015 Article in press: June 26, 2015 Published online: August 21, 2015 Processing time: 133 Days and 0.4 Hours
Abstract
A pancreatic paraganglioma is a rare neoplasm that is difficult to distinguish from a pancreatic neuroendocrine tumour. Here we present a case of pancreatic paraganglioma that was surgically resected following preoperative diagnosis of a pancreatic neuroendocrine tumour. Careful evaluation of the endoscopic ultrasonography findings revealed abundant draining vessels, which could have led to a correct preoperative diagnosis of pancreatic paraganglioma.
Core tip: Pancreatic paraganglioma is a rare disease, which has been reported only in 24 cases ever. Invasive procedures toward paragangliomas carry the potential risk of catastrophic complications due to unexpected release of large quantities of catecholamines. An accurate diagnosis of paraganglioma, therefore, is important before invasive procedures. Draining vessels from the tumour are sometimes observed in a general paraganglioma. However, it is still unclear in the pancreatic paraganglioma. In the present report, usefulness of draining vessels for a diagnosis of pancreatic paraganglioma was investigated by reviewing past cases.
