Pheochromocytoma associated with adrenocortical tumor in the same gland. Two case reports and literature review. 2006

D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
Day Hospital of Internal Medicine and Hypertension, Department of Clinical Sciences, University La Sapienza, Rome Italy.

Pheochromocytomas are catecholamine-producing neuroendocrine tumours arising from chromaffin cells of the adrenal medulla or extra-adrenal paraganglionic system that show 2 distinctive features, rarity and clinical variability. Pheochromocytoma occasionally is associated with pathological lesions of the adrenal cortex. We present 2 cases of patients referred to our hospital with a finding of clinical suspected pheochromocytoma. Both of them were hypertensive; the first patient with typical symptoms of pheochromocytoma and the second patient with chest pain and hypertension resistant to pharmacological treatment. The diagnosis of pheochromocytoma was confirmed in both cases with laboratory analysis and the lesion was achieved by employing 3 imaging techniques: computed tomography (CT), magnetic resonance imaging (MRI) and scintigraphy with (123)I-metaiodobenzilguanidine (MIBG). The patients underwent adrenalectomy and in the same adrenal gland we found a pheochromocytoma associated with a nonfunctioning cortical adenoma. As far as we know few cases with this association are available in the literature.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009378 Neoplasms, Multiple Primary Two or more abnormal growths of tissue occurring simultaneously and presumed to be of separate origin. The neoplasms may be histologically the same or different, and may be found in the same or different sites. Neoplasms, Synchronous,Neoplasms, Synchronous Multiple Primary,Multiple Primary Neoplasms,Multiple Primary Neoplasms, Synchronous,Synchronous Multiple Primary Neoplasms,Synchronous Neoplasms,Multiple Primary Neoplasm,Neoplasm, Multiple Primary,Neoplasm, Synchronous,Primary Neoplasm, Multiple,Primary Neoplasms, Multiple,Synchronous Neoplasm
D009456 Neurofibromatosis 1 An autosomal dominant inherited disorder (with a high frequency of spontaneous mutations) that features developmental changes in the nervous system, muscles, bones, and skin, most notably in tissue derived from the embryonic NEURAL CREST. Multiple hyperpigmented skin lesions and subcutaneous tumors are the hallmark of this disease. Peripheral and central nervous system neoplasms occur frequently, especially OPTIC NERVE GLIOMA and NEUROFIBROSARCOMA. NF1 is caused by mutations which inactivate the NF1 gene (GENES, NEUROFIBROMATOSIS 1) on chromosome 17q. The incidence of learning disabilities is also elevated in this condition. (From Adams et al., Principles of Neurology, 6th ed, pp1014-18) There is overlap of clinical features with NOONAN SYNDROME in a syndrome called neurofibromatosis-Noonan syndrome. Both the PTPN11 and NF1 gene products are involved in the SIGNAL TRANSDUCTION pathway of Ras (RAS PROTEINS). Peripheral Neurofibromatosis,Recklinghausen Disease of Nerve,von Recklinghausen Disease,Cafe-au-Lait Spots with Pulmonic Stenosis,Molluscum Fibrosum,NF1 (Neurofibromatosis 1),Neurofibromatosis I,Neurofibromatosis Type 1,Neurofibromatosis Type I,Neurofibromatosis, Peripheral Type,Neurofibromatosis, Peripheral, NF 1,Neurofibromatosis, Peripheral, NF1,Neurofibromatosis, Type 1,Neurofibromatosis, Type I,Pulmonic Stenosis with Cafe-au-Lait Spots,Recklinghausen Disease, Nerve,Recklinghausen's Disease of Nerve,Recklinghausens Disease of Nerve,Watson Syndrome,von Recklinghausen's Disease,Cafe au Lait Spots with Pulmonic Stenosis,Neurofibromatoses, Peripheral,Neurofibromatoses, Type I,Neurofibromatosis, Peripheral,Peripheral Neurofibromatoses,Pulmonic Stenosis with Cafe au Lait Spots,Syndrome, Watson,Type 1 Neurofibromatosis,Type 1, Neurofibromatosis,Type I Neurofibromatoses,Type I, Neurofibromatosis,von Recklinghausens Disease
D010673 Pheochromocytoma A usually benign, well-encapsulated, lobular, vascular tumor of chromaffin tissue of the ADRENAL MEDULLA or sympathetic paraganglia. The cardinal symptom, reflecting the increased secretion of EPINEPHRINE and NOREPINEPHRINE, is HYPERTENSION, which may be persistent or intermittent. During severe attacks, there may be HEADACHE; SWEATING, palpitation, apprehension, TREMOR; PALLOR or FLUSHING of the face, NAUSEA and VOMITING, pain in the CHEST and ABDOMEN, and paresthesias of the extremities. The incidence of malignancy is as low as 5% but the pathologic distinction between benign and malignant pheochromocytomas is not clear. (Dorland, 27th ed; DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p1298) Pheochromocytoma, Extra-Adrenal,Extra-Adrenal Pheochromocytoma,Extra-Adrenal Pheochromocytomas,Pheochromocytoma, Extra Adrenal,Pheochromocytomas,Pheochromocytomas, Extra-Adrenal
D011877 Radionuclide Imaging The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph. Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000306 Adrenal Cortex Neoplasms Tumors or cancers of the ADRENAL CORTEX. Adrenocortical Cancer,Cancer of Adrenal Cortex,Adrenal Cortex Cancer,Cancer of the Adrenal Cortex,Neoplasms, Adrenal Cortex,Adrenal Cortex Cancers,Adrenal Cortex Neoplasm,Adrenocortical Cancers,Cancer, Adrenal Cortex,Cancer, Adrenocortical,Cancers, Adrenal Cortex,Cancers, Adrenocortical,Neoplasm, Adrenal Cortex
D000310 Adrenal Gland Neoplasms Tumors or cancer of the ADRENAL GLANDS. Adrenal Cancer,Adrenal Gland Cancer,Adrenal Neoplasm,Cancer of the Adrenal Gland,Neoplasms, Adrenal Gland,Adrenal Cancers,Adrenal Gland Cancers,Adrenal Gland Neoplasm,Adrenal Neoplasms,Cancer, Adrenal,Cancer, Adrenal Gland,Cancers, Adrenal,Cancers, Adrenal Gland,Neoplasm, Adrenal,Neoplasm, Adrenal Gland,Neoplasms, Adrenal
D000315 Adrenalectomy Excision of one or both adrenal glands. (From Dorland, 28th ed) Adrenalectomies

Related Publications

D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
February 1986, Endocrinologia japonica,
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
July 2007, Journal of the Chinese Medical Association : JCMA,
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
April 1997, Urology,
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
July 2002, International journal of urology : official journal of the Japanese Urological Association,
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
December 2017, Orbit (Amsterdam, Netherlands),
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
January 2014, ORAL & implantology,
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
September 2020, Journal of clinical and experimental dentistry,
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
December 1979, The Thoracic and cardiovascular surgeon,
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
January 2023, Case reports in oncology,
D Cotesta, and L Petramala, and V Serra, and S Giustini, and L Divona, and S Calvieri, and G De Toma, and A Ciardi, and A Corsi, and R Massa, and M G Reale, and C Letizia
January 2001, Scandinavian journal of infectious diseases,
Copied contents to your clipboard!