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Vagal paraganglioma clinically presenting as a persistent dry cough
  1. Caio Heleno1,
  2. Katharine Lasley1,
  3. Michelle Low2 and
  4. Pranav Singh3
  1. 1Internal Medicine Department, MercyOne North Iowa Medical Center, Mason City, Iowa, USA
  2. 2Internal Medicine, MercyOne North Iowa, Mason City, Iowa, USA
  3. 3Pulmunology Department, MercyOne North Iowa, Mason City, Iowa, USA
  1. Correspondence to Dr Caio Heleno; caioheleno{at}


Vagal paragangliomas (VPs) are a rare subset of neuroendocrine tumour derived from paraganglia located in the head/neck that are usually indolent in nature. Typical clinical presentations include pulsatile tinnitus or hoarseness associated with a neck mass. Surgery and radiation therapy remain the primary treatment modalities but come with significant morbidity including cranial nerve damage. We describe a unique case of VP in which cough was the only presenting symptom, that was exacerbated by enlargement of the tumour. Symptoms improved following radiation treatment.

  • head and neck cancer
  • respiratory cancer
  • lung function
  • cancer intervention
  • ear
  • nose and throat

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  • Contributors CTH wrote the manuscript with support from ML and KL. PS supervised the project.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.