Abstract

Mediastinal paragangliomas are rare tumors that are commonly benign, may be malignant. Once detected, surgical resection is always suggested. We present a rare case of an extra-adrenal paraganglioma in the posterior mediastinum. A 52-year-old previously healthy man was admitted because of mild chest pain, dry cough, and dyspnea after trauma to the chest more than 1 week prior to admission. The chest X-ray showed a large shadow in the left posterior mediastinum. The patient denied recent fever, weight loss, hoarseness, dizziness, or hemoptysis. He underwent a left posterolateral thoracotomy with complete removal of the tumor. Histopathologic examination revealed a mediastinal paraganglioma. The patient's postoperative recovery was uneventful and he has remained well on outpatient follow up.

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