Year 2017 / Volume 109 / Number 8
Letter to the Editor
Gangliocytic paraganglioma: an unusual cause of upper gastrointestinal bleeding

605-606

DOI: 10.17235/reed.2017.4808/2016

Yolanda Sánchez Torrijos, Rafael León Montañés, María Ángeles Mejías Manzano,

Abstract
Gangliocytic paraganglioma is an uncommon tumor, which is usually located in the ampulla of Vater, and may get confused in the differential diagnosis with ampuloma or GIST. Here we present a case of a patient with upper gastrointestinal bleeding as a predominant symptom, objectified by endoscopy an ulcerative polypoid mass at the juxtapilar level, with histological result of gangliocítica paraganglioma after multiple biopsies, and finally surgical resection. The interest of this case is the difficulty for diagnosing, the different treatments and prognosis that this implies, especially for the tumor location, as surgery can lead to great complications.
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References
1. Okubo Y, Wakayama M, Nemoto T. Literature survey on epidemiology and pathology of gangliocytic paraganglioma. BMC Cancer. 2011;11:187.
2. Boeriu A, Dobru D, Georgescu R, Mocan S, Boeriu C. Gangliocytic paraganglioma: A rare cause of gastrointestinal bleeding. J Gastrointestin Liver Dis. 2015;24:109-112. DOI: http://dx.doi.org/10.15403/jgld.2014.1121.abo
3. Loftusa TJ, Kresak JL, Gonzalob DH et al. Duodenal gangliocytic paraganglioma: A case report and literature review. International Journal of Surgery Case Reports 2015, 8C: 5–8.
4. Kwon J, Lee SE, Kang MJ, Jang JY, Kim SW. A case of gangliocytic paraganglioma in the ampulla of Vater. World J. Surg. Oncol. 2010;8:42.
5. Ortega Ramírez JR, Velasco Albendea FJ, Fornés Santamaría S, et al. Paraganglioma gangliocítico en la ampolla de Vater. Una entidad a tener en cuenta en la patología ampular. Rev Esp Patol 2016;49:243-7 - DOI: 10.1016/j.patol.2015.09.007
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Sánchez Torrijos Y, León Montañés R, Mejías Manzano M. Gangliocytic paraganglioma: an unusual cause of upper gastrointestinal bleeding. 4808/2016


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Publication history

Received: 21/12/2016

Accepted: 30/01/2017

Online First: 18/07/2017

Published: 31/07/2017

Article Online First time: 209 days

Article editing time: 222 days


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