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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Case Report
Vaginal paraganglioma presenting as a gynecologic mass: case report
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1
Department of Endocrinology, The First Affiliated Hospital, School of Medicine, Zhejiang University
2
Department of Gynecologic Oncology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou (P.R. China)
Eur. J. Gynaecol. Oncol. 2008, 29(2), 184–185;
Published: 10 April 2008
Abstract
Paragangliomas in the vagina are extremely rare. Unwitting surgical excision of a functional paraganglioma may precipitate lifethreatening complications. We present a case of a 38-year-old woman with a vaginal mass 3.0 cm in diameter who experienced a hypertensive crisis during an unwitting attempted surgical excision of the vaginal mass. The diagnosis of a vaginal functional paraganglioma was then made based on to her 16-year history of paroxysmal headaches, chest distress, palpitation and elevated levels of urinary vannillylmandelic acid (VMA). Consequently, after thorough presurgical preparation, the patient again underwent excision of the vaginal mass uneventfully. She has been followed-up for three years since surgery without any evidence of recurrence. The clinical features and perioperative management of functional vaginal paraganglioma are described.
Keywords
Paraganglioma
Vagina
Perioperative management
Hypertension crisis