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Eur J Cardiothorac Surg 2004;25:655-657
© 2004 Elsevier Science NL

Case report

Inferior laryngeal paraganglioma presenting as plunging goiter

^a Department of Thoracic Surgery, Meram Medical School of Selcuk University, 42080 Meram, Konya, Turkey
^b Department of Chest Diseases, Meram Medical School of Selcuk University, Konya, Turkey
^c Department of Pathology, Meram Medical School of Selcuk University, Konya, Turkey

Received 2 September 2003; received in revised form 30 December 2003; accepted 2 January 2004.

^* Corresponding author. Address: Selcuk Universitesi Meram Tip Fakultesi Hastanesi, Gogus Cerrahisi Anabilim Dali, 42080 Meram–Konya, Turkey. Tel.: +90-332-3232600/1844; fax: +90-332-3243730
e-mail: olgun{at}selcuk.edu.tr

Paragangliomas are uncommon slow-growing neuroendocrine tumors that may arise from the extra-adrenal paraganglia. Paragangliomas of the inferior and superior laryngeal paraganglia are known as laryngeal paraganglioma. Inferior laryngeal paraganglioma, which is also called subglottic paraganglioma, is very seldomly observed. To our knowledge only 24 patients with subglottic paraganglioma have been found. We present a 77-year-old male patient who has been previously followed-up for cervical goiter, which has a progressive enlargement into the mediastinum, causing severe tracheal obstruction. The tumor was completely and easily resected via median sternotomy with collar incision and finally diagnosed as inferior laryngeal paraganglioma. The present case is the first subglottic laryngeal paraganglioma descending into the visceral compartment of the mediastinum in the literature.

Key Words: Paraganglioma • Laryngeal paraganglioma • Inferior laryngeal paraganglioma • Subglottic paraganglioma • Plunging goiter • Mediastinum