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Case No : 1468 Date 2025-12-08
- Courtesy of Kum Ju Chae / Jeonbuk National University Hospital
- Age/Sex 69 / M
- Chief ComplaintIncidentally found abnormality
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Paraganglioma
- Radiologic Findings
- Figs 1 and 2. Chest PA and lateral radiographs reveal a large anterior mediastinal mass.
Fig 3. Enhanced chest CT demonstrates a hypervascular anterior mediastinal mass with necrotic changes and enlarged mediastinal lymph nodes.
Figs 4 and 5. MRI shows the mass with T2 high signal intensity, T1 intermediate signal intensity, multifocal necrotic changes, and diffusion restriction. Dynamic scans indicate continuous hyper enhancement.
Fig 6. PET-CT reveals increased FDG uptake in the mass and mediastinal lymph nodes. - Brief Review
- Excision of intrathoracic mass revealed paraganglioma of the thorax with regional lymph node metastasis
Paragangliomas of the chest represent 1 - References
- 1. Hamidi O, Young WF Jr, I
- Keywords
No. of Applicants : 72
- ▶ Correct Answer : 1/72, 1.4%
-
- - , Japan MASAMICHI IWAI
- ▶ Correct Answer as Differential Diagnosis : 9/72, 12.5%
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- - Funabashi General Hospital , Japan MANABU AKIMOTO
- - McGill University Health Center , Canada ALEXANDRE SEMIONOV
- - Secomedic Hospital , Japan FUMINORI MIYOSHI
- - Oita University, Faculty of Medicine , Japan FUMITO OKADA
- - , Japan SHUNJIRO NOGUCHI
- - Dokkyo Medical University , Japan HIROAKI ARAKAWA
- - Kyung Hee University Medical Hospital , Korea (South) JEONG TAEK YOON
- - Matsunami General Hospital , Japan TARO TAKEDA
- - Nara medical university , Japan HIROHIDE WATANABE
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