Necrosis of a phaeochromocytoma associated with spontaneous remission of diabetes and hypertension.
The diagnosis of phaeochromocytoma is sometimes difficult since its clinical presentation is quite variable. We report a 52-year-old woman who presented with acute diabetes mellitus and severe hypertension, which spontaneously disappeared. MIBG-scintigraphy and urine and plasma catecholamines were normal. At surgery, a largely necrotic phaeochromocytoma was found. Pathological examination demonstrated extensive avascular necrosis, which had occurred spontaneously without any major symptoms.
Zanin
L
L
Department of Clinical Medicine, Institutes of Pathology, University of Padua, Italy.
Rossi
G
G
Poletti
A
A
Piotto
A
A
Chiesura-Corona
M
M
Pessina
A C
AC
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000473:pathology; D003920:Diabetes Mellitus / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009336:Necrosis; D009365:Neoplasm Regression, Spontaneous / Q000473:pathology; D010673:Pheochromocytoma / Q000150:complications* / Q000473:pathology; D012075:Remission, Spontaneous