scholarly journals Surgical intervention as a curative major for secondary hypertension

2021 ◽  
Vol 8 (8) ◽  
pp. 2480
Author(s):  
Ramesh Mahadev Tambat ◽  
Venuprasad Narasimhaiah ◽  
Marshall David Collin ◽  
Nataraj Y. Sannappanavar ◽  
Nitin Kumar ◽  
...  

Retroperitoneal functional paraganglioma is a rare type of neuroendocrine neoplasm which secrete excess catecholamines including epinephrine, norepinephrine, dopamine and their metabolites metanephrine, normetanephrine, 3-methoxytyramine respectively. Early diagnosis of functional paraganglioma is important because its removal is often curative. The extent of disease is evaluate using 2(18F)-fluoro-2 deoxy-D-glucose positron emission tomography (FDG-PET), where increased uptake of 18-FDG observed the mass. It is one of the rare curable causes of secondary hypertension. Here, we have presented the rare case of a young female who was recently diagnosed with hypertension and pain in abdomen, was later found to have functional paraganglioma.

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Gennaro Nappo ◽  
Niccola Funel ◽  
Simone Giudici ◽  
Paola Spaggiari ◽  
Giovanni Capretti ◽  
...  

Abstract Background Serous cysto-adenoma (SCA) is a rare benign neoplasm of the pancreas. SCA can mimic other pancreatic lesions, such as neuroendocrine tumours. 68Gallium-DOTA-peptide Positron Emission Tomography (PET) is able to image in vivo the over-expression of the somatostatin receptors, playing an important role for the identification of neuroendocrine neoplasms. Case presentation We reported a case of 63-year-old man, with a solid lesion of 7 cm of diameter of the body–tail of the pancreas. Two fine-needle-aspirations (FNA) were inconclusive. A 68Ga-DOTA-peptide PET-CT revealed a pathological uptake of the pancreatic lesion. The diagnosis of a pancreatic neuroendocrine neoplasm was established and a laparoscopic distal splenopancreatectomy and cholecystectomy was performed. Final histopathological report revealed the presence of a micro-cystic SCA. Conclusions The current case firstly reports a pancreatic SCA showing increased radiopharmaceutical uptake at 68Ga-DOTA-peptide PET-CT images. This unexpected finding should be taken into account during the diagnostic algorithm of a pancreatic lesion, in order to minimize the risk of misdiagnosis and overtreatment of SCA.


2015 ◽  
Vol 137 ◽  
pp. 69-70
Author(s):  
S.L. Williams ◽  
I. Wilkinson-Ryan ◽  
S. Lederhandler ◽  
N. Al-Hammadi ◽  
A.R. Hagemann ◽  
...  

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