Bilateral biochemically silent pheochromocytoma, not silent after all
Autor: | Marie Maroun-Aouad, Robert Zakhia El-Doueihi, Albert El Hajj, Ibrahim Salti |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
endocrine system Right adrenalectomy Urology medicine.medical_treatment 030232 urology & nephrology lcsh:RC870-923 Asymptomatic Pheochromocytoma 03 medical and health sciences 0302 clinical medicine Adrenal masses medicine Sympathetic Paraganglioma business.industry Adrenalectomy Thyroid lcsh:Diseases of the genitourinary system. Urology medicine.disease Blockade medicine.anatomical_structure 030220 oncology & carcinogenesis Radiology medicine.symptom Trauma and Reconstruction business |
Zdroj: | Urology Case Reports, Vol 24, Iss, Pp-(2019) |
Popis: | Pheochromocytoma is a sympathetic paraganglioma originating from the chromaffin cells. They are bilateral in 10% of cases and occur as a part of a MEN 2A or 2B syndromes. This is a case of bilateral asymptomatic pheochromocytomas diagnosed incidentally on imaging in a woman being investigated for secondary infertility. Laboratory tests were negative. Whole body FDG scan showed avid uptake of the tracer by both adrenal masses, but none in the thyroid. Hypertensive crisis occurred during right adrenalectomy on an unprepared patient in spite of clamping the adrenal vein, which raises the need for alpha-adrenergic blockade for patients undergoing adrenalectomy. |
Databáze: | OpenAIRE |
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