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    Paraganglioma






    Woman nearly moved to NHS while dying Aug 23, 2005
    Dr Henry Thompson said it was first believed the lump had been an enlarged lymph node but it was subsequently discovered to be a paraganglioma, a very rare ... ic Birmingham.co.uk,

    Verdict on gran who died after surgery Aug 23, 2005
    But, during surgery, it was discovered that the lump was a rare paraganglioma tumour, which had weakened the walls of the internal carotid artery - one of the ... ic Coventry,
    Woman nearly moved to NHS while dying -- Aug 23, 2005
    Dr Henry Thompson said it was first believed the lump had been an enlarged lymph node but it was subsequently discovered to be a paraganglioma, a very rare ... / ic Birmingham.co.uk,

    Verdict on gran who died after surgery -- Aug 23, 2005
    But, during surgery, it was discovered that the lump was a rare paraganglioma tumour, which had weakened the walls of the internal carotid artery - one of the ... / ic Coventry,


    Woman nearly moved to NHS while dying Aug 23, 2005
    Dr Henry Thompson said it was first believed the lump had been an enlarged lymph node but it was subsequently discovered to be a paraganglioma, a very rare ... ic Birmingham.co.uk,

    Verdict on gran who died after surgery Aug 23, 2005
    But, during surgery, it was discovered that the lump was a rare paraganglioma tumour, which had weakened the walls of the internal carotid artery - one of the ... ic Coventry,

    View larger version (152K): May 12, 2004
    2. Images of a 51-year-old woman with a small right-sided carotid body tumor (confirmed angiographically) and a large left-sided vagal paraganglioma (not shown ... American Journal of Neuroradiology


    Distinct Clinical Features of Paraganglioma Syndromes Associated ... -- Oct 12, 2004
    Multiple Errors: In the Original Contribution entitled "Distinct Clinical Features of Paraganglioma Syndromes Associated With SDHB and SDHD Gene Mutations ... / Journal of American Medical Association (subscription),

    Large Germline Deletions of Mitochondrial Complex II Subunits SDHB ... -- Nov 4, 2004
    ...of three inherited cancer syndromes: multiple endocrine neoplasia type 2, von Hippel-Lindau disease (VHL), and pheochromocytoma/paraganglioma syndrome (PC/PGL ... / Journal of Clinical Endocrinology and Metabolism,

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    A paraganglioma is a rare neoplasm that can be found in the head and neck region and other less common areas. They are usually considered benign and complete surgical removal results in cure. However, in about 3% of cases they are malignant and have the ability to metastasize. Paragangliomas are still sometimes called glomus tumors (not to be confused with glomus tumors of the skin) and chemodectomas, but paraganglioma is the currently accepted and preferred term.

    Paragangliomas arise from the glomus cells, which are special chemoreceptors located along blood vessels that have a role in regulating blood pressure and blood flow. The main concentration of glomus cells are found are in the carotid body, located in the upper neck at the branching of the common carotid artery, and the aortic bodies, located near the aortic arch. The glomus cells are a part of the paraganglion system composed of the extra-adrenal paraganglia of the autonomic nervous system, derived from the embryonic neural crest. Thus, paragangliomas are a type of neuroendocrine tumor, and are closely related to pheochromocytomas. Although all paragangliomas contain neurosecretory granules, only about 1-3% have clinical evidence of oversecretion.

    Paragangliomas are found predominantly in the abdomen (85%) and the thorax (12%), and only 3% are found in the head and neck region. Most occur as single tumors. When they occur in multiple sites they are usually found as a part of a heritable syndrome such as multiple endocrine neoplasia types II-A and II-B and Carney's complex.

    Familial paragangliomas are found in 10-50% of cases, are often multiple and bilateral, and occur at an earlier age. The genes SDHD (previously known as PGL1), PGL2, and SDHC (previously PGL3) have been identified as the genes which can cause familial paragangliomas when mutated.

    According to the World Health Organization classification of neuroendocrine tumors, paragangliomas are classified as having a neural cell line of origin. In the categorization proposed by Wick, the paragangliomas belong to Group II

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