Cystic Feochromocytoma, Mimicing a Liver Cyst. A Case Review
Authors:
Ľ. Laca; M. Fani; J. Janík; J. Miklušica; M. Adámik; M. Hošala
Authors place of work:
Martin, Slovenská republika, prednosta: doc. MUDr. Ľ. Laca, Ph. D.
; Klinika transplantačnej, viscerálnej a cievnej chirurgie JLF UK a MFN
Published in the journal:
Rozhl. Chir., 2008, roč. 87, č. 6, s. 306-310.
Category:
Case Report
Summary
Cystic feochromocytoma is a special subtype of supraadrenal tumors, with a specific clinical course, symptomatology, CT and MRI pictures and histological findings. The above factors frequently contribute to a wrong diagnosis and increased risk during its surgery. The authors present a case review of a patient with a cystic tumor of the right liver lobe. Its laparoscopic fenestration attempt resulted in hypertonic crisis with cardial decompensation and lung edema. Furthermore, attempts to embolize the tumor resulted in another hypertonic crisis, despite of the preoperative care as appropriate in feochromocytoma procedures. Only complete surgical removal of the tumor relieved the patient of the clinical symptoms. The authors discuss diagnostic and therapeutical problems of this specific and rare feochromocytoma subtype and suggest radical surgical management following a standard preoperative care as appropriate in all feochromocytoma procedures.
Key words:
cystic feochromocytoma – cystic liver tumors– laparoscopic fenestration – embolization – radical removal
Zdroje
1. Andreoni, C., Krebs, R. K., Bruna, P. C., Goldman, S. M., Kater, C. E., Alves, M. T. S., Ortiz, V. Cystic phaeochromocytoma is a distinctive subgroup with special clinical, imaginig and histological features that might mislead the diagnosis. BJU International, 2008, roč. 101, č. 3, s. 345–350.
2. Erickson, L. A., Lloyd, R. V., Hartman, R., Thompson, G. Cystic adrenal neoplasms. Cancer, 2004, roč. 101, č. 10, s. 1537–1544.
3. Tan, F. L. S., Tan, Y. M., Lim, D. T. H. The significance of cystic adrenal lesions in multiple endocrine neoplasia IIB syndrome. Singapore Med. J., 2004, roč. 45, č. 10, s. 494.
4. Gillett, M. J., Arenson, R. V., Yew, M. K., Thompson, I. J., Irish, A. B. Diagnostic challenges associated with a complex case of cystic phaeochromocytoma presenting with malignant hypertension, microangiopathic haemolysis and acute renal failure. 2005, roč. 20, č. 5, s. 1014.
5. Erem, C., Kocak, M., Onder Ersoz, H., Ersoz, S., Yucel, Y. Epinephrine-secreting cystic pheochromocytoma presenting with an incidental adrenal mass: a case report and a review of the literature. 2005, roč. 28, č. 2, s. 225–230.
6. Lee, T. H., Slywotzky, C. M., Lavelle, M. T., Garcia, R. A. Cystic pheochromocytoma. Radiograohics, 2002, roč. 22, č. 4, s. 935–940.
7. Wu, J., Ahya, S., Reploeg, M., Singer, G., Brennan, D., Howard, T., Lowell, J. Pheochromocytoma presenting as a giant cystic tumor of the liver. Surgery, 2000, roč. 128, č. 3, s. 482–484.
8. Antedomenico, E., Wascher, R. A case of mistaken identity: Giant cystic pheochromocytoma. Curr. Surg., 2005, roč. 62, č. 2, s. 193–198.
9. Montemurro, S., Ruggieri, E., Maselli, E., Zito AF., Chiumarulo, F., Gargano, G. A rare case of extra-adrenal pheochromocytoma masquerading as an ovarian mass treated by laparoscopic surgery. Eur. J. Gynaecol. Oncol., 2007, roč. 28, č. 6, s. 491–496.
10. Schmid, H., Mussack, T., Wörnle, M., Pietrzyk, M. C., Banas, B. Clinical management of large adrenal cystic lesions. Int. Urol. Nephrol., 2005, roč. 37, č. 4, s. 767–771.
11. Pacak, K. Preoperative management of the pheochromocytoma patient. J. Clin. Endocrinol. Metab., 2007, roč. 92, č. 11, s. 4069–4079.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2008 Číslo 6
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Najčítanejšie v tomto čísle
- Short Bowel Syndrome and Limits of Small Intestinal Resections
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