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Year : 1999  |  Volume : 15  |  Issue : 2  |  Page : 123-129

Management of childood paraganliomas


Dept, of Paediatric Surgery, AIIMS, New Delhi, India

Correspondence Address:
R Lal
Dept, of Paediatric Surgery, AIIMS, New Delhi
India
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Source of Support: None, Conflict of Interest: None


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Paragangliomas are rare tumours in childhood. They have a wide spectrum of presentation depending on the functional status and a significant characteristic is he lack of correlation between biological behaviour and gross morphological and routine histological features. Early diagnosis and adequate surgical excision usually result in a good prognosis. 4 children with extra-adrenal paragangliomas are being reported. These cases represent the two ends of the spectrum pf presentation-3 cases had small but secrtory tumours associated with severe hypertension and its sequelae and 1 case had a huge palpable tumour without hypertension. A preoperative diagnosis was possible in the 3 tumours associated with hypertension. All cases had highly vascular tumours and were treated by complete surgical excision. The need for a high index of suspicion in order to establish the diagnosis preoperatively, especially in "the clinically silent" or "the non-secretory" tumours has been emphasised because this would enable the surgeons and the anaesthetist to manage the intraoperative course better.


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