Simultaneous Adrenal and Cervical Pheochromocytomas in Childhood

Gibbs, Marvin K.; Carney, J. Aidan; Hayles, Alvin B.; Telander, Robert L.

doi:10.1097/00000658-197703000-00004

Cited by 21 publications

(2 citation statements)

References 4 publications

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“…Cases with paraganglioma in the neck or head, having hypersecretion of cathecolamine, have been represented as extra-adrenal pheochromocytoma (Fries and Chamberlin 1968;Mannhart et al 1969 ;Parkinson 1969;Gibbs et al 1977), carotid body tumor (Glenner et al 1962;Hamberger et al 1967), vagal body tumor (Tannir et al 1983), paraganglioma (Berdal et al 1962;Levit et al 1969;Schwartz et al 1975;Bogdasarian and Lots 1979), chemodectoma (Revak et al 1971;Clark et al 1976) and glomus jugulare tumor (Duke et al 1964;Balogh et al 1966;DeLellis and Roth 1971;Matsuguchi et al 1975), which were situated in the bifurcation of the carotid artery, the middle ear and the jugular foramen. The region of the cathecolamine-secreting tumor in the present paper was separate from those mentioned above.…”

Section: Discussionmentioning

confidence: 99%

Cervical cathecolamine-secreting paraganglioma in the pterygopalatine fossa.

Otokida

Ohira

Kamimura

et al. 1987

Tohoku J. Exp. Med.

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A 25-year-old man was admitted for examination to determine the cause of hypertension. High levels of noradrenaline in plasma and urine were seen, suggesting that the patient had an adrenal or extra-adrenal pheochromocytoma. However, whole-body scintigraphy using the isotope of [1311] metaiodo-benzylguanidine (1311-MIBG) failed to find the presence of a cathecolamine-secreting tumor. The highest level of noradrenaline was detected in plasma obtained from the left jugular vein after selective venous collections through femoral catheterization. Both the computed tomography and cerebral angiography showed a hen-egg-sized tumor located in the left pterygopalatine. After surgical removal of the tumor, high blood pressure and the levels of noradrenaline in plasma and urine were significantly decreased. Histopathological diagnosis was paraganglioma (cathecolamine-secreting paraganglioma). The patient with cervical cathecolamine-secreting paraganglioma is the first case where the tumor was isolatively located in the pterygopalatine fossa.pheochromocytoma ; paraganglioma ; perygopalatine fossa 1968;Schwartz et al. 1975;Manger and Gifford 1977).

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Section: Discussionmentioning

confidence: 99%

Cervical cathecolamine-secreting paraganglioma in the pterygopalatine fossa.

Otokida

Ohira

Kamimura

et al. 1987

Tohoku J. Exp. Med.

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“…About 50% of catecholamine-producing tumors are bilateral, multiple and extra-adrenal in children, while only 5-10% of such tumors appear in adults [1], Several cases of para ganglioma complicated with erythrocytosis have been re ported [2][3][4][5][6][7]. The relationship between erythrocytosis and paraganglioma has been discussed in these reports.…”

Section: Introductionmentioning

confidence: 99%

Erythrocytosis Complicated by Multiple Paraganglioma

Terada

Kitano²,

Tokunaga³

et al. 1994

Acta Haematol

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We report the case of a 22-year-old woman with onset of erythrocytosis at the age of 9 years. Endocrinological and radiological examinations revealed an elevated catecholamine level and the presence of multiple abdominal tumors. After the removal of the tumors, the catecholamine level normalized, whereas erythropoietin remained at the same level and erythrocytosis persisted. The tumor lysate contained considerable amounts of catecholamine but no erythropoietin. Moreover, no erythropoietin mRNA was detected in the tumor by in situ hybridization. These data suggest that this paraganglioma did not produce erythropoietin. A review of the literature showed the existence of patients with early-onset erythrocytosis complicated with paraganglioma, whose erythrocytosis was not relieved even after the resection of paraganglioma.

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Diagnosis and Management of Cervical Sympathetic Chain Paraganglioma

Seth¹,

Lanier²,

Hoschar³

et al. 2009

The Laryngoscope

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A 46 year old man presented with a four week history of swelling in the back of his throat and slowly enlarging right sided neck mass. He had onset of anisocoria and mild right-sided ptosis three years prior, and had been diagnosed with Horner's syndrome at that time. He developed constant raspy hoarseness one year ago. He denied dysphagia, dyspnea, palpitations, hypertension, otalgia, weight loss, and night sweats. He had no significant medical history, and no family history of paraganglioma.Physical examination revealed anisocoria with constricted right pupil along with right eyelid ptosis (Figure 3). The right level II neck had a hard, immobile 5 cm mass. The right posterior and lateral oropharynx had a visible submucosal fullness (Figure 4). On flexible nasopharyngoscopy, this fullness extended a total of 5 cm along the right lateral pharyngeal wall.Contrast CT showed an enhancing mass in the right parapharyngeal space measuring 5.2 x 3.1 cm that originated near the carotid bifurcation. The external and internal carotid artery (ECA and ICA) were mildly splayed at their bifurcation and superiorly the mass displaces both the vessels anterolaterally. Contrasted MRI reveals similar findings with flow voids on T2 imaging ( Figure 5).

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Simultaneous Adrenal and Cervical Pheochromocytomas in Childhood

Cited by 21 publications

References 4 publications

Cervical cathecolamine-secreting paraganglioma in the pterygopalatine fossa.

Cervical cathecolamine-secreting paraganglioma in the pterygopalatine fossa.

Erythrocytosis Complicated by Multiple Paraganglioma

Diagnosis and Management of Cervical Sympathetic Chain Paraganglioma

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