PMC10080299_01
A) axial contrast-enhanced abdominal CT scan showing a left latero-aortic mass with heterogeneous enhancement; B) coronal contrast-enhanced abdominal CT scan showing the left latero-aortic mass
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F1
This description was compatible with paraganglioma or metastatic lymphadenopathy (Figure 1).
laparoscopic intraoperative image
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F2
retroperitoneal paraganglioma after its resection and extraction
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F3
At the anatomopathological level, the excision was complete; macroscopically it is a nodule of 3.3 X 0.5 cm of white-grayish aspect, well encapsulated with some bleeding reshuffle (Figure 3).
microscopic image; A) Gx40; B) Gx100 tumor growth well inscribed in the tumor organization in the form of small nests of large cells with clear cytoplasm
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F4
Realizing a neuroendocrine architecture, the tumor cells are large and have a finely granular eosinophilic cytoplasm with round nucleic nuclei, compatible with the histology of a paraganglioma (Figure 4).