Renin-secreting juxtaglomerular tumor causing severe hypertension: diagnosis by computerized tomography-directed needle biopsy.
Renin-secreting tumors are a rare cause of severe hypertension accompanied by hypokalemia. Typically, these tumors have been difficult to diagnose preoperatively by standard radiographic and hormonal studies. We describe a 44-year-old man who was hospitalized for paroxysmal hypertension and who had a 2.3 cm. mid upper pole renal mass on sonography. Computerized tomography-directed needle biopsy revealed a juxtaglomerular tumor and surgical excision of the tumor was curative. We discuss the unique diagnostic aspects of this case.
Department of Medicine, Scott and White Clinic, Temple, Texas 76508.
A D
AD
Schonfeld
J A
JA
Jackson
S P
SP
Somerville
C F
CF
Johnson
P W
PW
Anderson
D000328:Adult; D001707:Biopsy, Needle; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D007606:Juxtaglomerular Apparatus; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis / Q000378:metabolism*; D008297:Male; D012083:Renin / Q000378:metabolism*; D014057:Tomography, X-Ray Computed
D012083:Renin