Subject(s)
Amyloidosis, Familial/diagnosis , Corneal Dystrophies, Hereditary/diagnosis , Aged , Amyloidosis, Familial/genetics , Amyloidosis, Familial/pathology , Antigens, Neoplasm/genetics , Cell Adhesion Molecules/genetics , Corneal Dystrophies, Hereditary/genetics , Corneal Dystrophies, Hereditary/pathology , Humans , MaleSubject(s)
Hemangioblastoma/complications , Optic Disk/pathology , Retinal Detachment/complications , Retinal Neoplasms/complications , von Hippel-Lindau Disease/complications , von Hippel-Lindau Disease/diagnosis , Hemangioblastoma/diagnosis , Humans , Nose Neoplasms/complications , Nose Neoplasms/diagnosis , Retinal Detachment/diagnosis , Retinal Neoplasms/diagnosisABSTRACT
In this study, an uncommon case has been reported of an ectopic pheochromocytoma without the presence of any clinical symptoms. The radiological investigations showed a right retroperitoneal tumor without any kidney involvement. The diagnosis was established by biopsy and subsequent histological findings. In the course of surgery as the large tumor mass was being removed, tachycardia was observed which caused the resection to be performed as rapidly as possible. Once the tumor had been removed, bradycardia occurred, followed by cardiac arrest: although the latter was stabilized after cardiac massage, the patient died one hour after the operative field had been closed. In addition to this case report, the diagnosis, therapeutic strategy and prognosis regarding an ectopically located pheochromocytoma have been discussed.
Subject(s)
Pheochromocytoma/surgery , Retroperitoneal Neoplasms/surgery , Biopsy , Bradycardia/etiology , Diagnosis, Differential , Fatal Outcome , Female , Humans , Middle Aged , Pheochromocytoma/complications , Pheochromocytoma/diagnosis , Retroperitoneal Neoplasms/complications , Retroperitoneal Neoplasms/diagnosisABSTRACT
The authors report an uncommon case of bilateral synchronous adrenal gland metastases from left renal cell carcinoma. The diagnosis was established by abdominal ultrasound and computed tomography. The surgical approach initially consisted of left radical nephrectomy and ipsilateral adrenalectomy. Histologically, the tumor of the left adrenal gland was identical to the left renal cell carcinoma. Subsequent contralateral adrenalectomy showed an adrenal metastasis identical to the left renal cell carcinoma. Patient follow-up was good with no recurrence of the disease after one year. This is an uncommon case for renal cancer. The treatment and prognosis are discussed.
