A paraaortic nodule was removed during exploration for pelvic exenteration in a patient with persistent squamous cell carcinoma of the cervix. On frozen section the excised tissue was interpreted as metastatic tumor. Subsequent permanent sections and electron microscopy confirmed the nodule to be a paraganglioma. The coexistence of a paraganglioma and recurrent squamous cell carcinoma created an interesting management problem in terms of prognosis and further therapy. © 1982.