Rare Paraganglioma Tumor of lower neck Removed at Sir Ganga Ram Hospital
New Delhi: 60 years old male patient from Kashmir, presented in ENT & Head and Neck Oncology Department, Sir Ganga Ram Hospital with breathing difficulty, swallowing problems & voice change. Investigations were done and found that there was a very rare tumor of size of approximately 6cm in the lower part of the neck and upper chest which was compressing the trachea (windpipe) and food pipe significantly and causing breathing & swallowing difficulties.
According to Dr. Sangeet Kr. Agarwal, Consultant (Head & Neck Oncosurgery), ENT Department, Sir Ganga Ram Hospital, "The tumor was found to be paraganglioma of lower neck going into the upper chest. The site of the tumor was very rare & the challenge in surgery was to save major blood vessels going into the brain, food pipe, and trachea (windpipe). The tumor was adherent to all vital structures including the trachea, food pipe, vertebra, major blood vessels of the neck & and upper chest. It was removed safely and the patient is now relieved and discharged without any complication".
Patient was investigated and found that he is suffering from a rare type of tumor in the lower part of the neck & going into the upper part of the chest, Known as paraganglioma of lower neck & upper chest. Surgery was advised to the patient. During surgery, the tumor was found adherent to windpipe, food pipe, vertebra (backbone), and major blood vessels of neck and upper chest.
With slow and meticulous dissection. The tumor was dissected & separated from all major blood vessels, food pipe, windpipe, and blood vessels of chest safely and without any major complications and time took was about 3 hours.
Surgery was done by Head & Neck Oncosurgery Team, assisted by ENT Surgeon.
Anesthesia was also challenging and chief anesthetist was Dr. Jayshree Sood & Dr. Prabhat Kumar.
Surgical Team headed by Dr. Sangeet Kr. Agarwal Consultant, (Head & Neck Oncosurgery) & ENT Surgeons (Dr. Uday Monga, Dr. Pratibha & Dr. Srishti).