In:
Romanian Journal of Medical Practice, AMALTEA Medical Publishing House, Vol. 16, No. 3 ( 2021-9-30), p. 394-397
Abstract:
We introduce a case report of an adult male diagnosed with non-syndromic pheochromocytoma with a first pathological post-operatory report of malignant type with further re-considerations during follow-up for a 6-year period of time. This is 46 - year old male admitted for: post-adrenalectomy status reassessment. In 2013 he was diagnosed with high blood pressure requiring a complex regime of anti-hypertensive drugs to control it. In 2015 he was referred for an endocrine check-up which revealed a pheochromocytoma (noradrenaline type). Computed tomography imaging of the abdomen showed a right adrenal tumor of 28/38 mm, a mass that was clearly contoured, with heterogeneous pattern, and with moderate caption of intravenous contrast. Laparoscopic right adrenalectomy is performed with normalization of high pre-operatory normetanephrines and a dose reduction of anti-hypertensive medication which was still necessary. Pathological report suggested a malignant pheochromocytoma; the initial PASS score of 8 was later re-calculated, and a GAPP score of 5 was achieved showing a moderately differentiated tumor. No genetic backup was identified. Within the first year after tumor removal, the patient suffered a stroke, proving the higher cardiovascular risk than general population even after hormonal imbalance is restored. Lifelong surveillance is the rule.
Type of Medium:
Online Resource
ISSN:
1842-8258
,
2069-6108
DOI:
10.37897/RJMP.2021.3
DOI:
10.37897/RJMP.2021.3.14
Language:
Unknown
Publisher:
AMALTEA Medical Publishing House
Publication Date:
2021
detail.hit.zdb_id:
2570962-8
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