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OCR: e left Fig. 23.27 Malignant paraganglioma in t ass with a upper chest. This coned view shows a m er well-defined margin lying in the left up ined of para vertebral region. The patient comp. ras occasional headaches and sweating but he blood normotensive. At operation, however, was being pressure rose steeply while the tumour ed a handled. Histological examination show ugh to be paraganglioma which was originally the umour benign. Seven years later, however, the ganglioma recurred in the chest and metastatic par e patient is was found on biopsy of a skull lesion. T esentation, still alive, seventeen years after initial p after treatment with 1311 MIBG. See also: . MIBG