[Adrenal pheochromocytoma and metastatic intestinal carcinoid tumor in the liver. A purely accidental association?].
A patient with hepatic metastasis of an intestinal cancer tumor is presented. Six years previously the patient had been diagnosed of HTA secondary to pheochromocytoma of the left adrenal gland and surgery. The clinical findings are described and the results of scintigraphy with 123I-MIBG used for tumor detection are analyzed. The literature was revised and this unique presentation confirmed following the study and exclusion of a possible association with pluriglandular adenomatosis. Finally, following the poor results obtained with different therapeutic procedures in metastatic cancer tumors, the systematic, periodic determination of 5-HIAA, among other investigations, is suggested as a useful alternative in the early diagnosis and potential surgical treatment patients diagnosed of pheochromocytoma.
Salinas
F
F
Servicio de Medicina Interna, Hospital Virgen de la Arrixaca, El Palmar, Murcia.
Alonso
J M
JM
Jara
P
P
Alías
E
E
Pérez
V
V
D000310:Adrenal Gland Neoplasms / Q000473:pathology*; D001706:Biopsy; D002276:Carcinoid Tumor / Q000473:pathology / Q000556:secondary*; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000473:pathology*; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000473:pathology / Q000556:secondary*; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000473:pathology*; D010673:Pheochromocytoma / Q000473:pathology*; D013997:Time Factors
Feocromocitoma suprarrenal y tumor carcinoide intestinal metastásico en hígado. Una asociación puramente casual?