Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2022; 10(30): 11059-11065
Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11059
Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11059
Different intraoperative decisions for undiagnosed paraganglioma: Two case reports
Dongho Kang, Bo-eun Kim, Minjae Hong, Joungmin Kim, Seongtae Jeong, Seongheon Lee, Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju 61469, South Korea
Author contributions: Kang D and Kim B wrote the manuscript; Hong M and Kim J performed literature analysis; Jeong S was the anesthesiologist in charge of the patient; Lee S revised the manuscript for important intellectual content; all authors approved the final version of the manuscript to be submitted.
Informed consent statement: Informed written consents were obtained from the patients for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Seongheon Lee, MD, PhD, Assistant Professor, Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Chonnam National University Hospital, 160 Baekseo-ro, Dong-gu, Gwangju 61469, South Korea. aneshead@gmail.com
Received: June 24, 2022
Peer-review started: June 24, 2022
First decision: August 7, 2022
Revised: August 20, 2022
Accepted: September 12, 2022
Article in press: September 12, 2022
Published online: October 26, 2022
Peer-review started: June 24, 2022
First decision: August 7, 2022
Revised: August 20, 2022
Accepted: September 12, 2022
Article in press: September 12, 2022
Published online: October 26, 2022
Core Tip
Core Tip: Undiagnosed paragangliomas may be suspected at the time of intraoperative manipulation. Tumor removal without preoperative alpha blockade preparation can lead to serious hemodynamic instability. The present case report describes different intraoperative decisions for two patients with undiagnosed paragangliomas. Intraoperative cancellation of surgery may not always be feasible or practical, but it should be considered as an option in cases requiring frequent manipulation of the tumor.