Metastatic phaeochromocytoma: risks of diagnostic needle puncture and treatment by arterial embolisation
| Autor: | J P Baguet, F. Tremel, L Mangin, L Hammer, J. M. Mallion |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Urinary system medicine.medical_treatment Adrenal Gland Neoplasms Pheochromocytoma Metastasis Adrenal Glands Biopsy Internal Medicine medicine Humans Embolization medicine.diagnostic_test business.industry Biopsy Needle Metanephrines Middle Aged medicine.disease Embolization Therapeutic Surgery Fine-needle aspiration Hypertension Neoplasm Recurrence Local Complication business |
| Zdroj: | Journal of Human Hypertension. 15:209-211 |
| ISSN: | 1476-5527 0950-9240 |
| DOI: | 10.1038/sj.jhh.1001151 |
| Popis: | A 62-year-old man had an acute episode of hypertension 72 h after fine needle aspiration biopsy of an intra- hepatic nodule. The patient had been operated 3 years previously for a right adrenal phaeochromocytoma with no evidence of metastases at that time. Thus, a relapse of the tumour was postulated and confirmed by raised levels of urinary metanephrines. The extent of the metastases precluded surgical intervention and thus localised embolisation was proposed and permitted a clinical stabilisation over 8 months. This case indicates the necessity of long-term post-operative follow-up of phaeochromocytoma as well as the dangers of fine needle aspiration biopsy of metastases from this kind of tumour. Treatment of malignant phaeochromocytoma is difficult and embolisation was a useful therapeutic alternative in this case where the metastases were well defined. |
| Databáze: | OpenAIRE |
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