A 28-year-old woman presented with a 2-year history of a slow-growing, non-tender and pulsatile mass in the right carotid bifurcation. The computed tomography study revealed the hypervascular characteristics of paraganglioma (PGL): a well-circumscribed expansile mass with intense contrast enhancement. Additionally, a small left carotid mass was also identified. Hormonal evaluation revealed high levels of plasma catecholamine metabolites. A successful staged excision of both tumors was performed. The PGL gene panel testing was positive for a SDHD gene mutation, c.3G > C.

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