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J Small Anim Pract ; 64(6): 415-420, 2023 06.
Article in English | MEDLINE | ID: mdl-36977649

ABSTRACT

Pheochromocytoma in cats is a rare clinical condition characterised by the development of a secretory endocrine tumour that arises from the adrenal medulla. An 8-year-old castrated male, domestic shorthair cat was referred for further investigation of a 4-month history of progressive weight loss with normal appetite, polyuria/polydipsia, generalised weakness, and severe hypertension. Sonography and computed tomography of the abdomen disclosed a mass arising from the left adrenal gland. The contralateral adrenal gland was normal in size and shape. Results from a low dose dexamethasone suppression test and measurements of plasma aldosterone concentration and plasma renin activity ruled out a cortisol-secreting tumour and aldosteronoma. The clinical presentation made a sex-steroid secreting tumour unlikely. Increased plasma metanephrine and normetanephrine concentrations prioritised the differential diagnosis of pheochromocytoma. The cat underwent adrenalectomy of the left gland and histopathological diagnosis with immunohistochemical markers confirmed the diagnosis.


Subject(s)
Adrenal Gland Neoplasms , Cat Diseases , Pheochromocytoma , Cats , Male , Animals , Pheochromocytoma/diagnosis , Pheochromocytoma/surgery , Pheochromocytoma/veterinary , Adrenal Gland Neoplasms/diagnosis , Adrenal Gland Neoplasms/surgery , Adrenal Gland Neoplasms/veterinary , Normetanephrine , Metanephrine , Adrenalectomy/veterinary , Treatment Outcome , Cat Diseases/diagnostic imaging , Cat Diseases/surgery
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