Composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with multiple endocrine neoplasia type 2B: A case report
Multiple endocrine neoplasia type 2 (MEN2) is an autosomal‐dominant cancer syndrome with major components of medullary thyroid carcinoma, pheochromocytoma, and hyperparathyroidism. MEN2B is the most aggressive and rarest of the MEN2 variants. Pheochromocytoma in MEN2 is virtually always located in t...
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Veröffentlicht in: | Asian journal of endoscopic surgery 2017-02, Vol.10 (1), p.66-69 |
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description | Multiple endocrine neoplasia type 2 (MEN2) is an autosomal‐dominant cancer syndrome with major components of medullary thyroid carcinoma, pheochromocytoma, and hyperparathyroidism. MEN2B is the most aggressive and rarest of the MEN2 variants. Pheochromocytoma in MEN2 is virtually always located in the adrenal medulla, but MEN2‐associated extra‐adrenal pheochromocytomas (paraganglioma) are rare. A 59‐year‐old man who has been diagnosed with MEN2B consulted our hospital for surgical treatment of a 10‐mm left adrenal mass and a 30‐mm retroperitoneal mass. He had paroxysmal elevations in blood pressure and in urinary metanephrine and vanillylmandelic acid values. Laparoscopic excision of the left adrenal gland and retroperitoneal mass was performed. We experienced an extremely rare case of composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with MEN2B. |
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MEN2B is the most aggressive and rarest of the MEN2 variants. Pheochromocytoma in MEN2 is virtually always located in the adrenal medulla, but MEN2‐associated extra‐adrenal pheochromocytomas (paraganglioma) are rare. A 59‐year‐old man who has been diagnosed with MEN2B consulted our hospital for surgical treatment of a 10‐mm left adrenal mass and a 30‐mm retroperitoneal mass. He had paroxysmal elevations in blood pressure and in urinary metanephrine and vanillylmandelic acid values. Laparoscopic excision of the left adrenal gland and retroperitoneal mass was performed. We experienced an extremely rare case of composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with MEN2B.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.12332</identifier><identifier>PMID: 27704704</identifier><language>eng</language><publisher>Japan: Wiley Subscription Services, Inc</publisher><subject>Adrenal Gland Neoplasms - diagnosis ; Adrenal Gland Neoplasms - secondary ; Adrenal Gland Neoplasms - surgery ; Adrenal glands ; Carcinoma, Neuroendocrine - pathology ; Ganglioneuroma ; Ganglioneuroma - diagnosis ; Ganglioneuroma - pathology ; Ganglioneuroma - surgery ; Humans ; Male ; Metastasis ; Middle Aged ; multiple endocrine neoplasia type 2B ; Multiple Endocrine Neoplasia Type 2b - diagnosis ; Multiple Endocrine Neoplasia Type 2b - pathology ; Multiple Endocrine Neoplasia Type 2b - surgery ; Neoplasms, Complex and Mixed - diagnosis ; Neoplasms, Complex and Mixed - pathology ; Neoplasms, Complex and Mixed - surgery ; paraganglioma ; Paraganglioma - diagnosis ; Paraganglioma - pathology ; Paraganglioma - surgery ; Retroperitoneal Neoplasms - diagnosis ; Retroperitoneal Neoplasms - pathology ; Retroperitoneal Neoplasms - surgery ; Thyroid cancer ; Thyroid Neoplasms - pathology</subject><ispartof>Asian journal of endoscopic surgery, 2017-02, Vol.10 (1), p.66-69</ispartof><rights>2016 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd</rights><rights>2016 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.</rights><rights>2017 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3482-2fa39ba3bcea7b5357a95e55569a07d81c91e62bd26092f9498d2fafd0d93a923</citedby><cites>FETCH-LOGICAL-c3482-2fa39ba3bcea7b5357a95e55569a07d81c91e62bd26092f9498d2fafd0d93a923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.12332$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.12332$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27704704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamasaki, Mutsushi</creatorcontrib><creatorcontrib>Sato, Yoshiyasu</creatorcontrib><creatorcontrib>Nomura, Takeo</creatorcontrib><creatorcontrib>Sato, Fuminori</creatorcontrib><creatorcontrib>Uchino, Shinya</creatorcontrib><creatorcontrib>Mimata, Hiromitsu</creatorcontrib><title>Composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with multiple endocrine neoplasia type 2B: A case report</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Multiple endocrine neoplasia type 2 (MEN2) is an autosomal‐dominant cancer syndrome with major components of medullary thyroid carcinoma, pheochromocytoma, and hyperparathyroidism. MEN2B is the most aggressive and rarest of the MEN2 variants. Pheochromocytoma in MEN2 is virtually always located in the adrenal medulla, but MEN2‐associated extra‐adrenal pheochromocytomas (paraganglioma) are rare. A 59‐year‐old man who has been diagnosed with MEN2B consulted our hospital for surgical treatment of a 10‐mm left adrenal mass and a 30‐mm retroperitoneal mass. He had paroxysmal elevations in blood pressure and in urinary metanephrine and vanillylmandelic acid values. Laparoscopic excision of the left adrenal gland and retroperitoneal mass was performed. We experienced an extremely rare case of composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with MEN2B.</description><subject>Adrenal Gland Neoplasms - diagnosis</subject><subject>Adrenal Gland Neoplasms - secondary</subject><subject>Adrenal Gland Neoplasms - surgery</subject><subject>Adrenal glands</subject><subject>Carcinoma, Neuroendocrine - pathology</subject><subject>Ganglioneuroma</subject><subject>Ganglioneuroma - diagnosis</subject><subject>Ganglioneuroma - pathology</subject><subject>Ganglioneuroma - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>multiple endocrine neoplasia type 2B</subject><subject>Multiple Endocrine Neoplasia Type 2b - diagnosis</subject><subject>Multiple Endocrine Neoplasia Type 2b - pathology</subject><subject>Multiple Endocrine Neoplasia Type 2b - surgery</subject><subject>Neoplasms, Complex and Mixed - diagnosis</subject><subject>Neoplasms, Complex and Mixed - pathology</subject><subject>Neoplasms, Complex and Mixed - surgery</subject><subject>paraganglioma</subject><subject>Paraganglioma - diagnosis</subject><subject>Paraganglioma - pathology</subject><subject>Paraganglioma - surgery</subject><subject>Retroperitoneal Neoplasms - diagnosis</subject><subject>Retroperitoneal Neoplasms - pathology</subject><subject>Retroperitoneal Neoplasms - surgery</subject><subject>Thyroid cancer</subject><subject>Thyroid Neoplasms - pathology</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9u3CAUh1HVqEnTbnqACqm7SpMCNrbpbjJK_0iRski7tp7hOSHC4AJWNLseIVfJlXqSMp1JlkVP4oE-PgQ_Qt5xdsbL-AQJ0xkXVSVekBPeym4lFWcvn3smjsnrlO4Ya1peV6_IsWhbVpc6IY-bMM0h2Yx0hgg34G-cDRP8-f1w6D0usWxQHbwOk83gM723-ZaCiejB0QkzpFI20TCWlVmcg7il-XYbgzVUQ9TW7xTWUyjXZItPjmlx2c4OKXoTdLQeqccwu2IDmrczUnH-ma6LIyGNOIeY35CjEVzCt4f5lPz8cvFj8211efX1-2Z9udJV3YmVGKFSA1SDRmgHWckWlEQpZaOAtabjWnFsxGBEw5QYVa06U86MhhlVgRLVKfmw984x_Fow5f4uLLE8OPW8k3XbCClkoT7uKR1DShHHfo52Ks_vOet36fS7dPp_6RT4_UG5DOWfntGnOArA98C9dbj9j6pfX19c76V_AY9Rn-A</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Yamasaki, Mutsushi</creator><creator>Sato, Yoshiyasu</creator><creator>Nomura, Takeo</creator><creator>Sato, Fuminori</creator><creator>Uchino, Shinya</creator><creator>Mimata, Hiromitsu</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>201702</creationdate><title>Composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with multiple endocrine neoplasia type 2B: A case report</title><author>Yamasaki, Mutsushi ; Sato, Yoshiyasu ; Nomura, Takeo ; Sato, Fuminori ; Uchino, Shinya ; Mimata, Hiromitsu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3482-2fa39ba3bcea7b5357a95e55569a07d81c91e62bd26092f9498d2fafd0d93a923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adrenal Gland Neoplasms - diagnosis</topic><topic>Adrenal Gland Neoplasms - secondary</topic><topic>Adrenal Gland Neoplasms - surgery</topic><topic>Adrenal glands</topic><topic>Carcinoma, Neuroendocrine - pathology</topic><topic>Ganglioneuroma</topic><topic>Ganglioneuroma - diagnosis</topic><topic>Ganglioneuroma - pathology</topic><topic>Ganglioneuroma - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>multiple endocrine neoplasia type 2B</topic><topic>Multiple Endocrine Neoplasia Type 2b - diagnosis</topic><topic>Multiple Endocrine Neoplasia Type 2b - pathology</topic><topic>Multiple Endocrine Neoplasia Type 2b - surgery</topic><topic>Neoplasms, Complex and Mixed - diagnosis</topic><topic>Neoplasms, Complex and Mixed - pathology</topic><topic>Neoplasms, Complex and Mixed - surgery</topic><topic>paraganglioma</topic><topic>Paraganglioma - diagnosis</topic><topic>Paraganglioma - pathology</topic><topic>Paraganglioma - surgery</topic><topic>Retroperitoneal Neoplasms - diagnosis</topic><topic>Retroperitoneal Neoplasms - pathology</topic><topic>Retroperitoneal Neoplasms - surgery</topic><topic>Thyroid cancer</topic><topic>Thyroid Neoplasms - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamasaki, Mutsushi</creatorcontrib><creatorcontrib>Sato, Yoshiyasu</creatorcontrib><creatorcontrib>Nomura, Takeo</creatorcontrib><creatorcontrib>Sato, Fuminori</creatorcontrib><creatorcontrib>Uchino, Shinya</creatorcontrib><creatorcontrib>Mimata, Hiromitsu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamasaki, Mutsushi</au><au>Sato, Yoshiyasu</au><au>Nomura, Takeo</au><au>Sato, Fuminori</au><au>Uchino, Shinya</au><au>Mimata, Hiromitsu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with multiple endocrine neoplasia type 2B: A case report</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2017-02</date><risdate>2017</risdate><volume>10</volume><issue>1</issue><spage>66</spage><epage>69</epage><pages>66-69</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Multiple endocrine neoplasia type 2 (MEN2) is an autosomal‐dominant cancer syndrome with major components of medullary thyroid carcinoma, pheochromocytoma, and hyperparathyroidism. MEN2B is the most aggressive and rarest of the MEN2 variants. Pheochromocytoma in MEN2 is virtually always located in the adrenal medulla, but MEN2‐associated extra‐adrenal pheochromocytomas (paraganglioma) are rare. A 59‐year‐old man who has been diagnosed with MEN2B consulted our hospital for surgical treatment of a 10‐mm left adrenal mass and a 30‐mm retroperitoneal mass. He had paroxysmal elevations in blood pressure and in urinary metanephrine and vanillylmandelic acid values. Laparoscopic excision of the left adrenal gland and retroperitoneal mass was performed. We experienced an extremely rare case of composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with MEN2B.</abstract><cop>Japan</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27704704</pmid><doi>10.1111/ases.12332</doi><tpages>4</tpages></addata></record> |
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subjects | Adrenal Gland Neoplasms - diagnosis Adrenal Gland Neoplasms - secondary Adrenal Gland Neoplasms - surgery Adrenal glands Carcinoma, Neuroendocrine - pathology Ganglioneuroma Ganglioneuroma - diagnosis Ganglioneuroma - pathology Ganglioneuroma - surgery Humans Male Metastasis Middle Aged multiple endocrine neoplasia type 2B Multiple Endocrine Neoplasia Type 2b - diagnosis Multiple Endocrine Neoplasia Type 2b - pathology Multiple Endocrine Neoplasia Type 2b - surgery Neoplasms, Complex and Mixed - diagnosis Neoplasms, Complex and Mixed - pathology Neoplasms, Complex and Mixed - surgery paraganglioma Paraganglioma - diagnosis Paraganglioma - pathology Paraganglioma - surgery Retroperitoneal Neoplasms - diagnosis Retroperitoneal Neoplasms - pathology Retroperitoneal Neoplasms - surgery Thyroid cancer Thyroid Neoplasms - pathology |
title | Composite paraganglioma‐ganglioneuroma concomitant with adrenal metastasis of medullary thyroid carcinoma in a patient with multiple endocrine neoplasia type 2B: A case report |
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