Rectal Paraganglioma

Intern Med. 2019 Jan 15;58(2):195-199. doi: 10.2169/internalmedicine.1218-18. Epub 2018 Aug 24.

Abstract

A 57-year-old woman was admitted with lower abdominal pain and bloody bowel discharge. She was diagnosed with rectal tumor by colonoscopy, and a biopsy was performed. Surgery was performed, resulting in a diagnosis of rectal paraganglioma. Since recurrence was confirmed three years later, reoperation was done, and chemotherapy with cyclophosphamide, vincristine and dacarbazine (CVD) was subsequently carried out for further recurrence. After the administration of up to 15 courses of CVD, we delivered best supportive care due to disease progression. She died a year and a half after starting chemotherapy. We herein report this rare disease with a review of the relevant literature.

Keywords: CVD; cyclophosphamide; dacarbazine; paraganglioma; pheochromocytoma; vincristine.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biopsy
  • Colonoscopy
  • Combined Modality Therapy
  • Cyclophosphamide / therapeutic use
  • Dacarbazine / therapeutic use
  • Disease Progression
  • Fatal Outcome
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Recurrence, Local / therapy
  • Paraganglioma / diagnosis*
  • Paraganglioma / pathology
  • Paraganglioma / therapy*
  • Rectal Neoplasms / diagnosis*
  • Rectal Neoplasms / pathology
  • Rectal Neoplasms / therapy*
  • Reoperation
  • Vincristine / therapeutic use

Substances

  • Vincristine
  • Dacarbazine
  • Cyclophosphamide

Supplementary concepts

  • CVD protocol