Article

[A case of adrenal pheochromocytoma with contralateral adrenocortical adenoma].

Department of Urology, Kanazawa University School of Medicine.
Hinyokika kiyo. Acta urologica Japonica 03/2001; 47(2):89-93. pp.89-93
Source: PubMed

ABSTRACT A case of a pheochromocytoma in the right adrenal gland and adrenocortical adenoma in the left adrenal gland of a 58-year-old male is reported. The patient was incidentally found to have a right adrenal tumor by ultrasonographic study. A computerized tomographic (CT) study and magnetic resonance image (MRI) study revealed bilateral adrenal tumors. The sizes of the right tumor and left tumor were 2.5 x 3.5 cm and 1.2 x 1.0 cm, respectively. The intensity of each tumor was different on T2-weighted MRI. 131I-MIBG scintigram showed the uptake of right adrenal gland. The existence of pheochromocytoma was confirmed by the elevated levels of catecholamines. We performed venous sampling to be certain whether the patient had unilateral or bilateral pheochromocytoma. As a result, bilateral adrenal pheochromocytoma was diagnosed. Therefore, we performed bilateral adrenalectomy. However, histopathological examination revealed right pheochromocytoma and left non-functioning adrenocortical adenoma.

0 0
 · 
0 Bookmarks
 · 
56 Views
  • Source
    Article: Recurrent pulmonary embolism in an elderly patient with Cushing's syndrome, adrenocortical adenoma, pheochromocytoma and prostate adenocarcinoma.
    Chwen-Yi Yang, Chien-Wen Chou, Ming-Bin Lin, Ching-Nan Lin, Long-Whou Wang, Su-Yu Chen, Hon-Mei Cheng
    [show abstract] [hide abstract]
    ABSTRACT: Pulmonary embolism (PE) is a major health problem. Mortality in untreated PE is high, but with adequate (anticoagulant) treatment, can be reduced. Multiple primary and secondary risk factors are responsible for PE. But there is rare association of mixed adrenal tumor with PE. Here, we report a case of adrenocortical adenoma with Cushing's syndrome coexistent with pheochromocytoma with recurrent PE in an elderly patient with prostate adenocarcinoma. A 78-year-old Taiwanese retired veteran was admitted in July, 2002 with the presentation of syncope. Three years before, he was diagnosed with prostate adenocarcinoma and had received Androcur therapy since then. Five months later, he was admitted with Cushingoid appearance and hypertension. Abdominal imaging studies revealed a left adrenal tumor. Laparoscopic adrenalectomy revealed an adrenocortical adenoma. Two years later, a recurrent left adrenal tumor was found. Repeated laparoscopic adrenalectomy revealed pheochromocytoma. One month after the repeat laparoscopic surgery, the patient was admitted due to syncope. Chest X-ray revealed cardiomegaly with pulmonary venous congestion. Echocardiogram showed impaired right ventricle global systolic function. Perfusion lung scan showed a high probability of PE. Heparin and coumadin were given but stopped 5 weeks later due to the development of severe skin ecchymosis. In December 2002, the patient was admitted again with consciousness disturbance. Chest computed tomography (CT) revealed bilateral PE, and he died 5 hours later due to cardiogenic shock. In conclusion, in elderly patients with Cushing's syndrome with pheochromocytoma and prostate carcinoma, there is probability of pulmonary embolism.
    Journal of the Chinese Medical Association 08/2004; 67(7):360-5. · 0.79 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

131I-MIBG scintigram
 
58-year-old male
 
adrenal gland
 
adrenal tumor
 
adrenocortical adenoma
 
bilateral adrenal pheochromocytoma
 
bilateral adrenal tumors
 
bilateral adrenalectomy
 
bilateral pheochromocytoma
 
computerized tomographic
 
elevated levels
 
histopathological examination
 
left adrenal gland
 
magnetic resonance image
 
non-functioning adrenocortical adenoma
 
sizes
 
T2-weighted MRI
 
tumor
 
ultrasonographic study
 
venous sampling
 

S Yotsuyanagi