Management of an Endobronchial Pulmonary Paraganglioma via Bronchoscopic Resection

ABSTRACT Paragangliomas are rare neuroendocrine tumours sharing embryological origins with phaeochromocytomas but differ in that they are found outside the adrenal medulla. The prevalence in literature ranges from 2 to 8 cases per million people. Pulmonary paragangliomas account for approximately 2%...

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Main Authors: Khuyen Hoang, Michael V. Brown, Arash Badiei, Phan Nguyen
Format: Article
Language:English
Published: Wiley 2025-07-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.70265
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author Khuyen Hoang
Michael V. Brown
Arash Badiei
Phan Nguyen
author_facet Khuyen Hoang
Michael V. Brown
Arash Badiei
Phan Nguyen
author_sort Khuyen Hoang
collection DOAJ
description ABSTRACT Paragangliomas are rare neuroendocrine tumours sharing embryological origins with phaeochromocytomas but differ in that they are found outside the adrenal medulla. The prevalence in literature ranges from 2 to 8 cases per million people. Pulmonary paragangliomas account for approximately 2% of this. Paragangliomas can cause symptoms due to the secretion of catecholamines. Other ‘non‐functional’ paragangliomas may cause symptoms relating to mass effect or endobronchial obstruction. Once a diagnosis is made, the most common reported modality of management are lobectomy and endobronchial sleeve resection. Only a limited number of case reports describe other management modalities such as endobronchial ablation. We present the case of 48‐year‐old female with a right main bronchus endobronchial lesion identified on positron emission tomography (PET) dotatate scan on a background of succinic dehydrogenase B gene mutation (SDHB) familial paraganglioma. Bronchoscopic management with argon plasma coagulation (APC) probe ablation was used to debulk the lesion which resulted in excellent symptomatic improvement and stability on follow‐up.
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spelling doaj-art-08e44b33f23e4d4ca5af0a222f891f072025-08-20T03:58:40ZengWileyRespirology Case Reports2051-33802025-07-01137n/an/a10.1002/rcr2.70265Management of an Endobronchial Pulmonary Paraganglioma via Bronchoscopic ResectionKhuyen Hoang0Michael V. Brown1Arash Badiei2Phan Nguyen3Adelaide Medical School, Faculty of Health and Medical Sciences University of Adelaide Adelaide AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences University of Adelaide Adelaide AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences University of Adelaide Adelaide AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences University of Adelaide Adelaide AustraliaABSTRACT Paragangliomas are rare neuroendocrine tumours sharing embryological origins with phaeochromocytomas but differ in that they are found outside the adrenal medulla. The prevalence in literature ranges from 2 to 8 cases per million people. Pulmonary paragangliomas account for approximately 2% of this. Paragangliomas can cause symptoms due to the secretion of catecholamines. Other ‘non‐functional’ paragangliomas may cause symptoms relating to mass effect or endobronchial obstruction. Once a diagnosis is made, the most common reported modality of management are lobectomy and endobronchial sleeve resection. Only a limited number of case reports describe other management modalities such as endobronchial ablation. We present the case of 48‐year‐old female with a right main bronchus endobronchial lesion identified on positron emission tomography (PET) dotatate scan on a background of succinic dehydrogenase B gene mutation (SDHB) familial paraganglioma. Bronchoscopic management with argon plasma coagulation (APC) probe ablation was used to debulk the lesion which resulted in excellent symptomatic improvement and stability on follow‐up.https://doi.org/10.1002/rcr2.70265argon plasma coagulationbronchoscopylung cancerneuroendocrineparaganglioma
spellingShingle Khuyen Hoang
Michael V. Brown
Arash Badiei
Phan Nguyen
Management of an Endobronchial Pulmonary Paraganglioma via Bronchoscopic Resection
Respirology Case Reports
argon plasma coagulation
bronchoscopy
lung cancer
neuroendocrine
paraganglioma
title Management of an Endobronchial Pulmonary Paraganglioma via Bronchoscopic Resection
title_full Management of an Endobronchial Pulmonary Paraganglioma via Bronchoscopic Resection
title_fullStr Management of an Endobronchial Pulmonary Paraganglioma via Bronchoscopic Resection
title_full_unstemmed Management of an Endobronchial Pulmonary Paraganglioma via Bronchoscopic Resection
title_short Management of an Endobronchial Pulmonary Paraganglioma via Bronchoscopic Resection
title_sort management of an endobronchial pulmonary paraganglioma via bronchoscopic resection
topic argon plasma coagulation
bronchoscopy
lung cancer
neuroendocrine
paraganglioma
url https://doi.org/10.1002/rcr2.70265
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AT michaelvbrown managementofanendobronchialpulmonaryparagangliomaviabronchoscopicresection
AT arashbadiei managementofanendobronchialpulmonaryparagangliomaviabronchoscopicresection
AT phannguyen managementofanendobronchialpulmonaryparagangliomaviabronchoscopicresection