RESUMO
In a 26-year old man who died post-operatively, post-mortem examination revealed the presence of a phaeochromocytoma located in the atrio-ventricular sulcus and involving the trunk and bifurcation branches of the left coronary artery. Pre-operative investigations, including whole-body computerized tomography, and exploratory laparotomy had failed to detect the tumour. In contrast with the case reported here, the 4 other cases previously published concerned intrapericardial phaeochromocytomas in contact with the posterior wall of the left atrium.
Assuntos
Neoplasias Cardíacas/diagnóstico , Feocromocitoma/diagnóstico , Adulto , Catecolaminas/sangue , Neoplasias Cardíacas/diagnóstico por imagem , Humanos , Masculino , Feocromocitoma/diagnóstico por imagem , Cintilografia , Tomografia Computadorizada por Raios X , VeiasRESUMO
PIP: The authors present the results of the determination of hormonal sensibility of a tumor, thus enabling a physician to start endocrine therapy, most often given as chemotherapy. Determination of hormonal receptors also permits a better selection of patients with probability of positive reaction to hormonal theraphy, and can be used as a prognostic tool. The article offers a summary of the physiology of estrogen and progesterone receptors.^ieng