Malignant pheochromocytoma with hepatic metastasis diagnosed 10 years after a resection of the primary incidentaloma adrenal lesion: Report of a case

Citation
T. Morikawa et al., Malignant pheochromocytoma with hepatic metastasis diagnosed 10 years after a resection of the primary incidentaloma adrenal lesion: Report of a case, SURG TODAY, 31(1), 2001, pp. 80-84
Citations number
17
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY
ISSN journal
0941-1291 → ACNP
Volume
31
Issue
1
Year of publication
2001
Pages
80 - 84
Database
ISI
SICI code
0941-1291(2001)31:1<80:MPWHMD>2.0.ZU;2-0
Abstract
A 40-year-old woman developed hepatic tumors 10 years after a resection of pheochromocytoma of the left adrenal gland. Computed tomography showed a ro und tumor measuring about 35mm in diameter at segment V of the liver (Couin aud's classification), and magnetic resonance imaging showed another tumor measuring about 5mm at segment V-VIII of the liver. The results of the endo scopic examination of her upper gastrointestinal tract and barium enema wer e normal. Owing to a suspected hepatic metastasis of malignant pheochromocy toma, a right lobectomy of the liver was performed. Postoperatively, [I-131 ]metaiodobenzylguanidine scintigram and computed tomography showed no other residual tumors nor metastasis. The present case suggests that a long-term follow-up only by endocrinological examinations is insufficient to find ne wly developed metastatic foci, while routine diagnostic imaging at frequent intervals is necessary in cases of pheochromocytoma.