Surgical and non-surgical management of thoracic and cervical paraganglioma
Copyright © 2022 Elsevier Masson SAS. All rights reserved..
Thoracic and cervical paragangliomas (PGLs) are rare neuroendocrine tumors arising from chromaffin cells of the neural crest progenitors located outside the adrenal gland. We describe our current protocol as a multidisciplinary team for the management of cervical and thoracic PGLs. Surgery is generally considered the treatment of choice as it offers the best chance for cure. For resection of thoracic PGLs, video-assisted thoracoscopic surgery (VATS) is the main surgical approach, while open thoracotomy is preferred in case of tumors > 6cm, lacking confirmation of a plane of separation with adjacent structures, or with technical difficulties during VATS. In cervical PGLs, the surgical approach should be individualized according to location, mainly based on the Glasscock-Jackson and the Fisch-Mattox classifications. Surgery is the treatment of choice for most cervical and thoracic PGLs, but radiotherapy or observation could be more suitable options in unresectable cervical and thoracic PGLs or when resection has been incomplete.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:84 |
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| Enthalten in: |
Annales d'endocrinologie - 84(2023), 4 vom: 15. Aug., Seite 466-471 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Araujo-Castro, Marta [VerfasserIn] |
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| Links: |
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| Themen: |
Cervical paraganglioma |
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| Anmerkungen: |
Date Completed 17.07.2023 Date Revised 18.07.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ando.2022.10.013 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM34848674X |
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| 520 | |a Copyright © 2022 Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a Thoracic and cervical paragangliomas (PGLs) are rare neuroendocrine tumors arising from chromaffin cells of the neural crest progenitors located outside the adrenal gland. We describe our current protocol as a multidisciplinary team for the management of cervical and thoracic PGLs. Surgery is generally considered the treatment of choice as it offers the best chance for cure. For resection of thoracic PGLs, video-assisted thoracoscopic surgery (VATS) is the main surgical approach, while open thoracotomy is preferred in case of tumors > 6cm, lacking confirmation of a plane of separation with adjacent structures, or with technical difficulties during VATS. In cervical PGLs, the surgical approach should be individualized according to location, mainly based on the Glasscock-Jackson and the Fisch-Mattox classifications. Surgery is the treatment of choice for most cervical and thoracic PGLs, but radiotherapy or observation could be more suitable options in unresectable cervical and thoracic PGLs or when resection has been incomplete | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Cervical paraganglioma | |
| 650 | 4 | |a Thoracic paraganglioma | |
| 650 | 4 | |a Tympanic paraganglioma | |
| 650 | 4 | |a Vagal paraganglioma | |
| 650 | 4 | |a Video-assisted thoracoscopic surgery | |
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| 700 | 1 | |a Polo López, Rubén |e verfasserin |4 aut | |
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| 700 | 1 | |a Moreno Mata, Nicolás |e verfasserin |4 aut | |
| 700 | 1 | |a Caballero Silva, Usue |e verfasserin |4 aut | |
| 700 | 1 | |a Barberá Durbán, Rafael |e verfasserin |4 aut | |
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