Malignant gangliocytic paraganglioma of the duodenum with distant metastases and a lethal course

Figure 2 Postoperative radiological findings in follow-up periods. Computed tomography (CT) scans at 4 mo and 9 mo after initial duodenal surgery showed distant metastatic lesions located in the liver (white arrows) and pelvic cavity (black arrows). The mass in the pelvic cavity became larger and pressed the surrounding tissues. Two months after second pelvic surgery, CT scans showed that the mass re-grew in the pelvic cavity (black arrows) and the liver mass became larger (white arrows).