We report the case of a 50-years-old man who underwent sequential curative resection for gangliocytic paraganglioma of the pancreas with metachronous sternal metastasis. Gangliocytic paraganglioma are mainly located on the duodenum but several localizations have been reported, including on the digestive tract. Locoregional lymph node metastases are possible and prove their malignant potential but, to our knowledge, this observation is the first documented case of distant metastasis. Their usually good prognosis supports complete resection of these tumors.
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