Case of Paraganglioma Presenting with Massive Airway Bleeding

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  • Kiyama Satoshi
    Department of Otolaryngology - Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Miyashita Keiichi
    Department of Otolaryngology - Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Kawabata Masaki
    Department of Otolaryngology - Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Kyutoku Takayuki
    Department of Otolaryngology - Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University
  • Yamashita Masaru
    Department of Otolaryngology - Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University

Bibliographic Information

Other Title
  • 気道からの大量出血を来したパラガングリオーマの症例
  • キドウ カラ ノ タイリョウ シュッケツ オ キタシタ パラガングリオーマ ノ ショウレイ
Published
2025-12-20
DOI
  • 10.3950/jibiinkotokeibu.128.12_1325
Publisher
Japanese Society of Otorhinolaryngology-Head and Neck Surgery

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Description

<p>　　Paragangliomas arising from the airway are extremely rare. Herein, we report a patient with paraganglioma who presented with massive airway bleeding. The patient was a 59-year-old man who was transported to our hospital due to sudden-onset hemoptysis. Contrast-enhanced computed tomography revealed a highly vascularized tumor originating from the left posterior side of the tracheal wall. On admission, the patient had neither active hemoptysis nor significant hypertension. However, on the fourth day of hospitalization, he developed severe hemoptysis, necessitating emergency tracheostomy at the bedside. Subsequently, tumor resection with an adequate safety margin was carried out under general anesthesia. Postoperative histopathological examination confirmed the diagnosis of a paraganglioma with negative surgical margins. The tumor was classified as intermediate risk according to the Grading System for Adrenal Pheochromocytoma and Paraganglioma (GAPP). The tracheostoma was closed through a staged reconstructive procedure four months after the initial operation. At the one-year follow-up, there was no evidence of tumor recurrence. Given the long-term recurrence risk associated with paragangliomas, follow-up for at least 10 years is recommended. We plan to continue periodical surveillance of this patient.</p>

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