Peripancreatic paraganglioma: Lesson from a round table

Core Tip

Core Tip: Our report strongly supports that paraganglioma should be included in the differential diagnosis of peripancreatic/pancreatic masses, highlighting the difficulties in establishing the accurate preoperative diagnosis, even after a second-round evaluation. In fact, due to the deep localization and the lack of specific clinical manifestations and imaging data, early diagnosis often relies solely on a level of suspicion, thus making it more probable to have a missed diagnosis or misdiagnosis. Moreover, the limited time spent with a patient in an emergency setting might impair the accuracy of the diagnosis, lowering quality and outcomes of healthcare delivery. A multidisciplinary team approach, involving skilled radiologists, endoscopists, pathologists, and surgeons, is of foremost importance for proper diagnosis and management, preventing undue surgical resections.