Multicentric pheochromocytoma and involvement of the inferior vena cava
São Paulo med. j
;
119(2): 86-8, Mar. 2001. ilus
Article
in English
| LILACS
| ID: lil-282396
RESUMO
CONTEXT Extension of pheochromocytomas to the inferior vena cava is rare. Multicentric tumors are rare as well, being present in up to 10 percent of cases. Surgery is the treatment of choice because of the long-term survival free of disease. DESIGN:
Case report. CASE REPORT We report on a case of right adrenal pheochromocytoma with extension to the supra-diaphragmatic vena cava, which underwent surgical excision through thoracophrenic laparotomy without the need for cardiopulmonary bypass. In a 6-year follow-up, another pheochromocytoma was found in the infra-renal Zuckerkandl's organ. Complete surgical excision of the tumor was performed by a median laparotomy and complete retroperitoneal dissection. In both cases, the total removal of the pheochromocytoma has been guaranteed by having margins free of tumor and a normal post-operative level of catecholamines. The pathological study revealed a malignant pheochromocytoma with margins free of neoplasia in both specimens
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pheochromocytoma
/
Vena Cava, Inferior
/
Adrenal Gland Neoplasms
Type of study:
Controlled clinical trial
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
São Paulo med. j
Journal subject:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicine
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Year:
2001
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of São Paulo/BR
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