RESUMO
Presentamos el caso de una mujer con antecedentes previos de hipertensión arterial y tumoración retroperitoneal, cuyo estudio anatomopatológico fue de paraganglioma, sin seguimiento clínico. Años después se constató recidiva tumoral del feocromocitoma tras comenzar con hipertensión arterial de difícil control junto con elevación de catecolaminas urinarias. El caso pretende resaltar la importancia de realizar un seguimiento clínico en estos pacientes, por el riesgo de recidiva (AU)
We present the case of a woman with a previous history of hypertension and retroperitoneal tumour. The histology was reported as a paraganglioma. There was no clinical follow-up. Years later, there was a recurrence of the phaeochromocytoma after presenting with a difficult to control hypertension, along with elevation of urinary catecholamines. The case aims to highlight the importance of performing a clinical follow-up in these patients, due to the risk of recurrence (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Neoplasias Retroperitoneais/complicações , Neoplasias Retroperitoneais/cirurgia , Recidiva Local de Neoplasia/induzido quimicamente , Hipertensão/etiologia , Feocromocitoma/complicações , Feocromocitoma/diagnóstico por imagem , Paraganglioma/complicações , Paraganglioma/diagnóstico por imagem , Losartan/uso terapêutico , Hidroclorotiazida/uso terapêutico , Metanefrina/uso terapêutico , Imuno-Histoquímica/métodos , Cromogranina A/uso terapêutico , Esterno , Esterno/diagnóstico por imagemRESUMO
We present the case of a woman with a previous history of hypertension and retroperitoneal tumour. The histology was reported as a paraganglioma. There was no clinical follow-up. Years later, there was a recurrence of the phaeochromocytoma after presenting with a difficult to control hypertension, along with elevation of urinary catecholamines. The case aims to highlight the importance of performing a clinical follow-up in these patients, due to the risk of recurrence.
