Giant cystic pheochromocytoma

Santarone, Mauro; Borghi, C.; Miglierina, Emilio; Senatore, S.; Corrado, Giovanni

doi:10.2459/jcm.0b013e328303698b

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Including both open and laparoscopic cases, a total of 33 cystic pheochromocytoma !10 cm had sufficient detail regarding perioperative outcomes for inclusion (including current case). Of all patients, 19 had a preoperative diagnosis [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] and 14 had no preoperative diagnosis. [28][29][30][31][32][33][34][35][36][37][38][39][40] A summary of characteristics of these two groups is shown in Table 3 and demonstrates a striking difference in number and severity of complications, suggesting that careful anaesthetic and surgical planning can have a positive impact on outcomes.…”

Section: Discussionmentioning

confidence: 99%

Incidental giant cystic pheochromocytoma: a case report and review of the literature

2020

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Introduction Pheochromocytoma is a tumour arising from the adrenal medulla, which secretes catecholamines. Approximately 20% of pheochromocytomas are cystic and more likely to be asymptomatic. They should be surgically resected as all have a malignant potential and pose cardiovascular risk. Case presentation: We report the case of a 61-year-old female patient admitted electively for laparoscopic adrenalectomy for a large cystic pheochromocytoma detected incidentally. Diagnosis was confirmed preoperatively by elevated 24-h urinary metanephrines. The patient was treated preoperatively with alpha and beta blockade. Surgery was without complication; she had an uneventful postoperative recovery and no evidence of recurrence at one-year follow-up. Conclusion This case highlights the necessity of investigating for biochemical function in all adrenal lesions by measuring metanephrines, even when entirely cystic on imaging. Given the surgical and anaesthetic risk in resection of pheochromocytoma, attaining a preoperative diagnosis allows for careful preoperative planning and safe surgery.

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Section: Discussionmentioning

confidence: 99%

Incidental giant cystic pheochromocytoma: a case report and review of the literature

2020

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“…Nineteen giant PCCs larger than 10 cm have been documented (Table 2). [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] In this group of studies, the mean age was 48 years (range: 12-81), with 58% being male. Eight cases presented asymptomatically at the time of diagnosis, 4 had hypertension, and 1 other in addition to this case presented with dyspnea accompanied with chest pain, paraesthesia, and palpitations.…”

Section: Discussionmentioning

confidence: 99%

Largest pheochromocytoma reported in Canada: A case study and literature review

Ambati

Jana

Domes

2014

CUAJ

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Most giant pheochromocytomas do not present with classic symptoms, as documented by published case reports. Given this, clinicians have to consider a wide differential diagnosis for any retroperitoneal mass and perform screening tests to rule out a pheochromocytoma. We describe the largest pheochromocytoma reported in Canada, where the patient presented with a palpable abdominal mass and dyspnea. The 19 × 18 × 12-cm right retroperitoneal mass was biochemically active and was radiologically and pathologically consistent with a giant pheochromocytoma. We present this case and review the relevant current literature.

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Adrenal giant cystic pheochromocytoma treated by posterior retroperitoneoscopic adrenalectomy

Almeida

Silva

Carvalho

et al. 2017

International Journal of Surgery Case Reports

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HighlightsGiant cystic pheochromocytoma is a rare entity.Preoperative diagnosis is very difficult to obtain.Open surgery is the gold standard to treat these giant masses, but comparison studies are lacking.Posterior retroperitoneoscopic approach has advantages over transperitoneal laparoscopic method.This is the first report of a giant cystic pheochromocytoma treated by posterior retroperitoneoscopic adrenalectomy.

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Giant cystic pheochromocytoma

Cited by 4 publications

References 3 publications

Incidental giant cystic pheochromocytoma: a case report and review of the literature

Incidental giant cystic pheochromocytoma: a case report and review of the literature

Largest pheochromocytoma reported in Canada: A case study and literature review

Adrenal giant cystic pheochromocytoma treated by posterior retroperitoneoscopic adrenalectomy

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