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JMJ-Jamahiriya Medical Journal. 2007; 7 (3): 229-230
em Inglês | IMEMR | ID: emr-83298

RESUMO

A 45-year old woman presented with a recent paroxysmal hypertension and a flush syndrome. Physical examination revealed an abdominal mass with positive left lumbar contact. The urine metanephrine was high. The CT scan and the Magnetic Resonance imaging [MRI] showed a 10 cm retgroperitoneal tumour apart from the left adrenal gland and driving back the left kidney. The diagnosis of ectopic pheochromocytoma was suspected and the patient was operated. A tumour resection widened to the left adrenal gland and to the kidney was performed The specimen histology showed a well-differentiated liposarcoma associated to an adrenal medullary hyperplasia [AMH] Postoperatively blood pressure was stabilizsed at normal levels. The review of literature show that AMH mimicking a pheochromocytoma is rare and its association with a giant retroperitoneal liposarcoma has never been reported before


Assuntos
Humanos , Feminino , Hiperplasia Suprarrenal Congênita , Feocromocitoma , Neoplasias Retroperitoneais , Tomografia Computadorizada por Raios X , Imageamento por Ressonância Magnética , Pressão Sanguínea , Hipertensão , Comorbidade , Metanefrina/urina , Medula Suprarrenal/patologia
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