Article

Adrenocorticotrophic hormone secreting pheochromocytoma

Indian Journal of Urology 01/2010; DOI:http://www.doaj.org/doaj?func=openurl&genre=article&issn=09701591&date=2010&volume=26&issue=1&spage=123
Source: DOAJ

ABSTRACT We report a rare case of pheochromocytoma of the adrenal gland presenting as Cushing syndrome. A 30 year old woman presented with pain in the left loin and classical Cushingoid features. She was a diabetic and hypertensive on treatment. Magnetic resonance imaging of the abdomen revealed a 3.5 x 3 cm mass in the left adrenal gland. Urine analysis revealed an elevated 24 hr urinary cortisol level. Clinical diagnosis was Cushing syndrome due to functioning left adrenal tumor, and hence left adrenalectomy was performed laparoscopically. Histopathological examination revealed adrenal pheochromocytoma. Immunohistochemical analysis of the tumor was positive for adrenocorticotrophic hormone and chromogranin.

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Keywords

30 year old woman
 
adrenal gland
 
adrenal pheochromocytoma
 
adrenal tumor
 
adrenalectomy
 
chromogranin
 
classical Cushingoid features
 
Clinical diagnosis
 
Cushing syndrome
 
elevated 24 hr urinary cortisol level
 
Histopathological examination
 
left adrenal gland
 
Urine analysis