Abstract
BackgroundParaganglioma can be found in a wide range of locations. However, paraganglioma in the posterior mediastinum is rare. An unexpected paraganglioma located in the posterior mediastinum was found during surgery. The anesthesia management of this patient was challenging.Case presentationA 65-year-old male with a posterior mediastinal tumor was scheduled for thoracoscopic mediastinal tumor resection. Severe hemodynamic changes during the operation and postoperative pathological diagnosis showed that the patient had a rare case of posterior mediastinal functional paraganglioma, which was not found before the operation. Although the patient did not experience side effects after surgery, he did experience a dangerous surgical process.ConclusionsThe correct diagnosis of paraganglioma, intensive preoperative screening, adequate preoperative preparation, and accurate intraoperative anesthesia management could provide better anesthesia for paraganglioma patients.
Highlights
Paraganglioma can be found in a wide range of locations
Pheochromocytoma and paraganglioma (PPGL) are a rare class of neuroendocrine tumors that originate from tumors of the adrenal medulla and extra-adrenal sympathetic chain
If the tumor is located in the adrenal gland, it is referred to as pheochromocytoma (PCC), and if it is found outside the gland, it is called paraganglioma (PGL)
Summary
Pheochromocytoma and paraganglioma (PPGL) are a rare class of neuroendocrine tumors that originate from tumors of the adrenal medulla and extra-adrenal sympathetic chain. In March 2018, a PGL located in the posterior mediastinum was treated in our hospital This was an unexpected neuroendocrine tumor as we did not diagnose the patient before surgery. On March 28, 2018, the patient underwent thoracoscopic mediastinal tumor resection under general anesthesia When he arrived in the operation room, the invasive arterial blood pressure (ABP), electrocardiogram (ECG), oxygen saturation (SPO2), heart rate (HR), and respiratory rate (RR) were measured for baseline values and were continued to be monitored throughout the surgery. The patient was followed up in the outpatient clinic for over a year and did not present with recurrences or metastasis of the tumor, and his blood pressure and heart rate remained stable at 135/77 mmHg and 76 bpm with o.p. sustained-release nifedipine
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