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

Takanori Morikawa, Masanori Suzuki, Michiaki Unno, Koujin Endo, Yu Katayose, Seiki Matsuno

Research output: Contribution to journalArticle

14 Citations (Scopus)

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 round tumor measuring about 35 mm in diameter at segment V of the liver (Couinaud's classification), and magnetic resonance imaging showed another tumor measuring about 5mm at segment V-VIII of the liver. The results of the endoscopic examination of her upper gastrointestinal tract and barium enema were normal. Owing to a suspected hepatic metastasis of malignant pheochromocytoma, a right lobectomy of the liver was performed. Postoperatively, [131I]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 newly developed metastatic foci, while routine diagnostic imaging at frequent intervals is necessary in cases of pheochromocytoma.

Original languageEnglish
Pages (from-to)80-84
Number of pages5
JournalSurgery today
Volume31
Issue number1
DOIs
Publication statusPublished - 2001 Mar 19

Keywords

  • Adrenal incidentaloma
  • Hepatic metastasis
  • Malignant pheochromocytoma

ASJC Scopus subject areas

  • Surgery

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