The local spread of pheochromocytoma after adrenalectomy with a rupture of the tumor capsule at the time of the surgery

Ryszard Pogorzelski 1 , Sadegh Toutounchi 1 , Patryk Fiszer 1 , Ewa Krajewska 1 , Izabela Łoń 3 , Łukasz Zapała 2 , and Maciej Skórski 1
  • 1 Clinic of General and Thoracic Surgery, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland
  • 2 Multidisciplinary Hospital Warsaw-Miedzylesie, Warsaw, Poland
  • 3 Clinic of Internal Medicine, Hypertensiology and Angiology, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland

Abstract

Introduction: We present a case of a 29-year-old patient treated due to fully symptomatic pheochromocytoma of the right adrenal gland.

Case presentation: Patient was operated on and an open right-sided adrenalectomy was performed. At the time of the surgery, a rupture of the tumor capsule occurred. Five years post-operatively, a recurrence of the symptoms of chromaffin-cell tumor was noted. After the exact localization of the multiple recurrences, the patient was reoperated on.

Conclusion: The case of pheochromocytoma is presented due to the possibility of chromaffin-cell seeding into the peritoneum, with no signs of distal metastases so far.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • [1] Sporny S, Musiał J. Markers of malignancy in pheochromocytoma. Endokrynol Pol 2005; 6:946-951

  • [2] Kajor M, Ziaja J, Lange D et al. Analysis of morphology of adrenal pheochromocytoma as regards their potential malignancy. Endokrinol Pol 2005; 6:911-916

  • [3] Geatti O, Shapiro B, Virgolini L. Late presentation of metastatic pheochromocytoma: a problem case solved by I-131 MIBG scintigraphy. Clin Nucl Med. 1990; 15:101-104

  • [4] Zografos GN, Vasiliadis G, Farfaras AN, et al. Laparoscopic surgery for malignant adrenal tumors. JSLS 2009; 13:196-202

  • [5] Pogorzelski R, Toutounchi S, Fiszer P, Krajewska E, Górnicka B, Zapała Ł, Szostek M, Jakuczun W, Tworus R, Wołoszko T, Skórski M. Regressive changes in phaeochromocytomas and paroxysmal hypertension. CEJMED 2014; 9: 663-666

  • [6] Belowska-Bień K, Kucharski W, Janczak D, et al. Pheochromocytoma of the adrenal gland selectively secreting dopamine – a case report. Endokrynol Pol. 2012; 63: 391-395

  • [7] Rutkowska J, Bandurska-Stankiewicz E, Kuglarz E, et al. Adrenal oncocytoma – a case report. Endokrynol Pol. 2012; 63: 308-311

  • [8] Lubikowski J, Kiedrowicz B, Szajko M, et al. Laparoscopic adrenalectomy for functioning and non-functioning adrenal tumors. Endokrynol Pol. 2011; 62:512-516

  • [9] Podgórska J, Cieszanowski A, Bednarczuk T. Adrenal imaging. Endokrynol Pol. 2012; 63:71-81

  • [10] Fliedner SMJ, Lehnert H, Pacak K. Metastatic paraganglioma. Semin Oncol. 2010; 37:627-637

OPEN ACCESS

Journal + Issues

Search