[Clinical observation of pheochromocytoma].
Eleven cases of pheochromocytoma observed at our department between 1976 and 1985 are presented. There were 5 males and 6 females and they were between 18 and 59 years old. The site of the tumor was in the right adrenal in 4 cases, left adrenal in 3 cases, bilateral adrenals in 2 cases and extra adrenal in 3 cases, 1 of which had multiple lesions and involvement of the right adrenal. Clinical symptoms observed were hypertension in 10 cases, headache in 7 cases, palpitation in 3 cases and nausea in 2 cases. Atypical adrenal pheochromocytoma was seen in 1 case. Definitive diagnosis was established by determination of urinary catecholamine levels in the 24-hour sample. Urinary levels of catecholamine revealed higher adrenaline levels for paroxysmal type and higher nor-adrenaline levels for extra-adrenal cases. For localization of tumors, computed tomography was most useful with a diagnostic rate of 100%, followed by ultrasonography and adrenal scan. As preoperative treatment, blood transfusion and administration of adrenergic blocking agents were performed in 9 cases. In all but 2 cases, hypertension was improved and no recurrence was seen after the operation.
Furuta
N
N
Department of Urology, School of Medicine, Jikei University.
Masuda
F
F
Yoshida
M
M
Kondo
N
N
Takahashi
T
T
Machida
T
T
D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D004837:Epinephrine / Q000378:metabolism; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009638:Norepinephrine / Q000378:metabolism; D010673:Pheochromocytoma / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D009638:Norepinephrine; D004837:Epinephrine