CASE REPORT
Year : 2023 | Volume
: 3 | Issue : 1 | Page : 31--34
A rare case of intra-renal paraganglioma in a child masquerading as renal cell carcinoma
Aditya Arvind Manekar1, Subrat Kumar Sahoo1, Bikasha Bihary Tripathy1, Prasant Nayak2, Mukund Namdev Sable3, Manoj Kumar Mohanty1
1 Department of Paediatric Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
2 Department of Urology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
3 Department of Pathology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
Correspondence Address:
Dr. Bikasha Bihary Tripathy
Department of Paediatric Surgery, All India Institute of Medical Sciences, Bhubaneswar - 751 019, Odisha
India
Background: Renal cell carcinomas (RCCs) are rare in children, accounting for around 2% of all pediatric renal tumors. Paragangliomas are extra-adrenal locations of phaeochromocytomas. They originate from chromaffin cells arising along the sympathetic paraganglia and are secretory in most cases. Sequential imaging is often required to ascertain the etiology of a renal mass; ultrasound (USG), contrast-enhanced computerized tomography scan (CECT), and magnetic resonance imaging (MRI). Tissue diagnosis is confirmatory. Clinical Description: An 11-year-old girl presented with a right-sided abdominal and flank pain that was dull aching and nonradiating. She had no history of jaundice, hematuria, dysuria, bowel symptoms, sweating, palpitations, or syncope. The vitals were stable, without tachycardia or hypertension. No abnormal findings were found on clinical examination. Initially, the possibility of a renal stone was considered. Management and Outcome: Baseline blood tests were normal. Abdominal USG detected a heterogeneous mass in the right kidney. CECT ascertained that it was very vascular and exhibited contrast enhancement, suggesting a renal tumor. MRI showed that the right renal artery was acting as the feeding vessel to the tumor. RCC was suspected based on imaging. The vascular nature prevented us from performing a Tru-cut biopsy. A right-sided nephrectomy was planned, preceded by angiography and embolization of the right renal artery to reduce vascularity. Intraoperative episodes of hypertension were noted. Gross appearance suggested RCC; however, histopathology revealed evidence of an intrarenal PGL. Conclusions: Diagnosing a nonfunctional PGL in an asymptomatic patient is challenging and may only be possible by intraoperative histopathology.
How to cite this article:
Manekar AA, Sahoo SK, Tripathy BB, Nayak P, Sable MN, Mohanty MK. A rare case of intra-renal paraganglioma in a child masquerading as renal cell carcinoma.Indian Pediatr Case Rep 2023;3:31-34
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How to cite this URL:
Manekar AA, Sahoo SK, Tripathy BB, Nayak P, Sable MN, Mohanty MK. A rare case of intra-renal paraganglioma in a child masquerading as renal cell carcinoma. Indian Pediatr Case Rep [serial online] 2023 [cited 2023 Jun 7 ];3:31-34
Available from: http://www.ipcares.org/article.asp?issn=2772-5170;year=2023;volume=3;issue=1;spage=31;epage=34;aulast=Manekar;type=0 |
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