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Colegio de Medicina Interna de México.

2005, Number 6

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Med Int Mex 2005; 21 (6)

Pheochromocytoma. A report of a case and literature review

Hernández HCA, Luckie DL, Rosas BJV, Cueto CH, Ibarra MS

Language: Spanish
References: 25
Page: 466-470
PDF size: 102.84 Kb.


ABSTRACT

We present the case of a 40 years old male without any familiar antecedent. He had the classical symptoms of pheochromocytoma. The laboratory tests reported high levels of vanillylmandelic acid and the computed tomography demonstrated a tumour in the right suprarenal pole. The medical treatment included adrenalectomy; the evolution was favorable and he continued in the consultation of the hospital. The pheochromocytoma is rare, and is found in less than 0.5% of hypertensive individuals. Familial pheochromocytoma may be associated with multiple endocrine neoplasia type 2, and Von Recklinghausen as well as Von Hippel Lindau diseases. The symptoms are palpitations, headache, anxiety, and tremor. The diagnostic tests evaluate the metanephrines and vanillylmandelic acid levels. Computed tomography detects pheochromocytoma in 90% of the cases. Laparoscopic removal of the tumor is the first line treatment, and the prognosis depends on when the diagnosis is made.


REFERENCES

  1. Harris GD, Fawcett GF. Hypertensive endocrine disorders. Clin Fam Pract 2002;4:1022-34.

  2. Vaughan ED. Diseases of the adrenal gland. Med Clin North Am 2004;88:715-28.

  3. Schiff RL, Welsh GA. Perioperative evaluation and management of the patient with endocrine dysfunction. Med Clin North Am 2003;87:1720-6.

  4. William FY. Pheochromocytoma and primary aldosteronism: diagnostic approaches. Endocrinol Metab Clin North Am 1997;26:802-27.

  5. Bravo EL, Tagle R. Pheochromocytoma: state-of-the-art and future prospects. Endocr Rev 2003;24:539-53.

  6. Lyman DJ. Paroxysmal hypertension, pheochromocytoma, and pregnancy. J Am Board Fam Pract 2002;15:153-8.

  7. Bravo EL. Evolving concepts in the pathophysiology, diagnosis and treatment of pheochromocytoma. Endocr Rev 1994;15:356-69.

  8. Liso WB, Liu ChF. Cardiovascular manifestations of pheochromocytoma. Am J Emerg Med 2000;18:622-5.

  9. Kievit J, Haak HR. Diagnosis and treatment of adrenal incidentaloma. Endocrinol Metab Clin North Am 2000;29:69-90.

  10. Plouin PF, Degoulet P, Tugaye A, Ducrocq MB, Menard J. Screening for pheochromocytoma: in which hypertensive patients? Nouv Presse Med 1981;10:869-72.

  11. Copo JA, Savío AM, Soliva DR, Recio PH. Feocromocitoma: diagnóstico y resultados del tratamiento quirúrgico. Rev Cubana Cir 2002;41:98-103.

  12. Koch CA, Vortmeyer AO. Genetic aspects of pheochromocytoma. Endocr Regul 2001;35:43-52.

  13. Kizer JR, Koniaris LS, Edelman JD. Pheochromocytoma crisis, cardiomyopathy, and hemodynamic collapse. Chest 2000;118:1542-5.

  14. Mannelli LI, Cilotti A. Pheochromocytoma in Italy: a multicentric retrospective study. Eur J Endocrinol 1999;141:619-24.

  15. Eisenhofer G, Goldstein DS, Walther MM. Biochemical diagnosis of pheochromocytoma: how to distinguish true from false positive test results. J Clin Endocrinol Metab 2003;88:2656-66.

  16. Higgins JC. Diagnosis of renal and adrenal incidentalomas. Clin Fam Pract 2002;4:138-49.

  17. William F, Young WF. Management approaches to adrenal incidentalomas. Endocrinol Metab Clin North Am 2000;29:159-85.

  18. Giménez B, Salinas S, Lorenzo S. Feocromocitoma del órgano de Zuckerkandl. A propósito de un caso. Actas Urol Esp 2002;26:372-6.

  19. Pacak K, Goldstein DS, Doppman JL. A “pheo” lurks: novel approaches for locating occult pheochromocytoma. J Clin Endocrinol Metab 2001;86:3641-6.

  20. Ilias I, Pacak K. Current approaches and recommended algorithm for the diagnostic localization of pheochromocytoma. J Clin Endocrinol Metab 2004;89:480-91.

  21. Sunder S, Dasgupta A, Shapiro JL, Arroliga AC. Thoracic involvement with pheochromocytoma. Chest 1999;115:512-21.

  22. Newell KA, Prinz RA, Brooks MH, Glisson SN, Barbato AL, Freeark RJ. Plasma catecholamine changes during excision of pheochromocytoma. Surgery 1988;104:1064-73.

  23. Frederick G, Mihm MD. Pheochromocytoma. Decreased perioperative mortality. Anesthesiol Clin North America 1998;16:646-62.

  24. Janetschek G, Hartmut PH, Neumann MD. Laparoscopic surgery for pheochromocytoma. Urol Clin North Am 2001;28:614-21.

  25. Edwin B, Kazaryan AM, Mala T. Laparoscopic and open surgery for pheochromocytoma. BMC Surg 2001;1:2-7.




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