An Unusual Location for a Lymph Node

Authors

  • Ágata Nawojowska Thoracic Surgery Department, Pulido Valente Hospital, CHULN, Lisbon, Portugal
  • Daniel Cabral Thoracic Surgery Department, Pulido Valente Hospital, CHULN, Lisbon, Portugal https://orcid.org/0000-0002-2891-5806
  • Samuel Mendes Thoracic Surgery Department, Pulido Valente Hospital, CHULN, Lisbon, Portugal
  • Mariana Antunes Thoracic Surgery Department, Pulido Valente Hospital, CHULN, Lisbon, Portugal
  • Francisco Félix Thoracic Surgery Department, Pulido Valente Hospital, CHULN, Lisbon, Portugal

DOI:

https://doi.org/10.48729/pjctvs.352

Abstract

We report a case of a 67-years old non-smoking female diagnosed with hypertension when 24-years-old and complicated with chronic kidney and hypertensive heart diseases. On CT-Chest an incidental discovery of a lesion (16x14x23mm) adjacent to the abdominal aorta was made. Initially suspected to be paraganglioma, a hypothesis which the subsequent MRI did not exclude. Urine analysis showed normal Metanephrine with slightly elevated Chromogranin-A levels.

During VATs-procedure "bulging" below the adventitial layer of the descending aorta at the level of the diaphragmatic gutter was identified. By opening the adventitia, a lipomatous lesion with a nodular, consistent center was identified and excised.

Final histopathological report confirmed the diagnosis of lymph node not suggestive of neoplasia.

Currently, 12 months after the surgery, the patient’s condition is good being under surveillance in the Thoracosurgical Outpatient Clinic.

Despite not having identified any neuroendocrine component, the patient had clinical signs of clear improvement of arterial hypertension.

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Published

11-10-2023

How to Cite

1.
Nawojowska Ágata, Cabral D, Mendes S, Antunes M, Félix F. An Unusual Location for a Lymph Node. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Oct. 11 [cited 2024 May 22];30(3):93. Available from: https://pjctvs.com/index.php/journal/article/view/352

Issue

Section

Images in Surgery

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