2025-11-272025-11-27http://hdl.handle.net/2263/106773Clinical history : A 63 year old male with a 4 month history of pain in the right lower back region due to a sports injury.A biopsy was done and a diagnosis of metastatic malignant paraganglioma was made.The patient experienced severe weight loss and 3cm of liver was palpable and was treated with adriamycin.Diagnosis: Primary carcinoma