A case of multiple posterior mediastinal paraganglioma

Abstract

The patient was a 29-year-old-female. She had undergone seven operations between 1989 and 2006 for pheochromocytoma or paraganglioma. Although she had been medicated with several anti- hypertensive agents, her blood pressure had remained high. Computed tomography showed tumors on the left side of the Th2 vertebra and on both sides of Th5. Endocrine examinations showed elevated levels of noradrenaline in both the serum and urine. Multiple mediastinal pheochromocytoma was suggested as treatment for the tumors. Video-assisted thoracic surgery (VATS) was carried out. The right tumor was removed, and the left tumors were removed after changing the patient's position. The postoperative blood pressure was stable within normal limits, and she was discharged from the hospital on the 12^th postoperative day.