Recurrent Pheochromocytoma in an Elderly Patient

Abstract

Pheochromocytomas are rare neuroendocrine tumors that can affect people of all ages and are commonly diagnosed in the 4th and 5th decades of life. Familial pheochromocytomas are diagnosed mostly between the 2nd and 3rd decades of life. They can be benign or metastatic and often present as isolated tumors or along with other neuroendocrine syndromes. We present a case of an elderly man who underwent laparoscopic adrenalectomy for pheochromocytoma at the age of 60 years but developed recurrence of metastatic pheochromocytoma after ten years. We also conducted a literature review to understand the epidemiology and presentation of the tumor and to emphasize that there should be a low threshold of suspicion for timely diagnosis and management of recurrent pheochromocytoma.

Anesthetic management of a giant paraganglioma resection: a case report

“…Due to the need to establish a pneumoperitoneum, the laparoscopic-assisted resection of PPGLs was previously considered to be dangerous but is now the preferred technique, especially for PPGLs with a diameter < 6 cm. Laparoscopic-assisted tumor resection has the advantages of more stable perioperative haemodynamics, faster postoperative recovery, and fewer complications; however, open surgery is recommended for large PPGLs (> 6 cm) [2,[9][10][11]. The patient underwent cholecystectomy in another hospital 10 years prior, and abnormally increased blood pressure was found during the operation, but the cause was not identified.…”

Feocromocitoma Adrenal Izquierdo. Reporte de Caso

“…Si el tumor se presenta en la médula suprarrenal, se llama feocromocitoma (PHE); si el tumor está fuera de la médula suprarrenal, se llama paraganglioma (PGL) y tiene el potencial de desarrollarse en cualquier lugar donde haya tejido cromafín. Se cree que entre el 80% y el 85% de los feocromocitomas surgen en la médula suprarrenal y el 98% de los PHE/PGL se localizan en la región abdominal (1,2) . La incidencia del feocromocitoma varía de 2 a 8 casos por millón de habitantes por año, en muchos casos se asocia con hipertensión y su incidencia varía del 0,2% al 0,6%.…”