Cystic Pheochromocytoma  Presenting as Adrenal Cyst

Abdulsalam, Mohammed Shafi; Ganapathy,; Satish, Pranav; Rk, Janakiraman; Singh, SV

doi:10.7860/jcdr/2016/20129.8892

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Some research reports have reported that pheochromocytoma or neoplasm can present as adrenal cystic lesion. [ 8 , 9 ] Therefore, the levels detection of hormone secreted by adrenal glands and enhanced CT scanning was performed accordingly. The normal hormone levels and no reinforcement effect were observed.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic pancreatic cyst in the adrenal gland

Jia

Yu²,

Chen³

et al. 2018

Medicine

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Rationale:The incidence of heterotopic pancreas (HP) is relatively rare and mainly found in the upper gastrointestinal tract, and no case of HP cyst in the adrenal gland has been reported. Informed consent has been obtained from the patient for the publication of the case details.Patient concerns:A 21-year-old woman who presented with chronic lower back pain for a week without urinary disturbance or gastrointestinal discomfortable.Diagnoses:Ultrasound (US) revealed a left renal cyst, and computed tomography (CT) showed a cyst in the area of the adrenal gland.Interventions:Cystectomy was successfully performed laparoscopically. Histopathologic examination of the removed cyst wall showed heterotopic pancreatic cyst accompanied by cystic degeneration.Outcomes:No unusual drainage or abdominal signs were observed during the 6-month follow-up.Lessons:Despite of its rarity, HP accompanied by cyst formation in the adrenal gland area can present with waist pain. Therefore, the possibility of such disease needs to be considered. For thorough evaluation, in addition to abdominal US, CT, and/or magnetic resonance imaging, histopathological examination should sometimes be performed to make a definite diagnosis. Total excision and regular follow-up is necessary for such cases due to the potential risk of complications or recurrent cyst formation.

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Section: Discussionmentioning

confidence: 99%

Heterotopic pancreatic cyst in the adrenal gland

Jia

Yu²,

Chen³

et al. 2018

Medicine

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“…Cyst formation in pheochromocytoma might be due to intralesional hemorrhage, necrosis, and later cyst formation. Patients with cystic pheochromocytoma are more likely to be asymptomatic and tend to have a negative biochemical evaluation 9. Pheochromocytoma can present as cystic lesions, which may mislead the diagnosis and should be considered in patients with nonspecific symptoms and an incidental cystic adrenal mass, even in the absence of hypertension.10,11 Although a solid adrenal mass can be easily diagnosed with available diagnostic methods, it is difficult to diagnose cystic lesions since they structurally resemble benign adrenal cysts, which may be inconclusive in conventional images.…”

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confidence: 99%

Pheochromocytoma with Hypertensive Crisis Caused by Endoscopic Ultrasound-guided Tissue Sampling

Kim¹,

Cho²,

Yeo³

et al. 2019

Korean J Pancreas Biliary Tract

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Although pheochromocytoma usually presents as a solid tumor, it can also present as a cystic lesion in the adrenal glands. Cystic lesions in the adrenal glands, along with hypertension, need attention to exclude pheochromocytoma. If ignored, they may lead to a hypertensive crisis with multi-organ failure. Proper preoperative preparation is important to prevent a hypertensive crisis during and after surgery. We report a case of pheochromocytoma with cystic degeneration that presented as a hypertensive crisis caused by endoscopic ultrasound-guided tissue sampling.

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Cystic Pheochromocytoma Presenting as Adrenal Cyst

Cited by 2 publications

References 5 publications

Heterotopic pancreatic cyst in the adrenal gland

Heterotopic pancreatic cyst in the adrenal gland

Pheochromocytoma with Hypertensive Crisis Caused by Endoscopic Ultrasound-guided Tissue Sampling

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