title: [Right adrenal recurrence of pheochromocytoma discovered 24 years after ablation of two ectopic pheochromocytomas].
abstract: The classical localisation of chromaffin cell tumours is intra-adrenal. Ectopic or multiple tumours are not rare and are commonly observed in children. The authors report a case of ectopic pheochromocytoma with a double localisation in a 14 year old child (renal pedicle and right retropleural space), in which surgical ablation resulted in an immediate and sustained correction of the hypertension. Hypertension recurred 24 years later and a classical right adrenal pheochromocytoma was demonstrated by methyl-iodo-benzylguanidine (M.I.B.G.) scintigraphy and abdominal CT scan. Right adrenalectomy resulted in normalisation of the hypertension once again without antihypertensive therapy with a follow-up of three years. Regular follow-up is necessary after ablation of a pheochromocytoma, especially in children, even in the absence of a phacomatosis or multiple endocrine neoplastic syndromes.
authors.affiliation: Service de cardiologie B et laboratoire d'électrophysiologie cardiaque, centre hospitalier Trousseau, Tours.
authors.forename: C
authors.initials: C
authors.lastname: Delplace
authors.forename: P
authors.initials: P
authors.lastname: Bourlier
authors.forename: D
authors.initials: D
authors.lastname: Babuty
authors.forename: L
authors.initials: L
authors.lastname: de Calan
authors.forename: L
authors.initials: L
authors.lastname: Fauchier
authors.forename: P
authors.initials: P
authors.lastname: Derouet
authors.forename: P
authors.initials: P
authors.lastname: Tcherdakoff
authors.forename: P
authors.initials: P
authors.lastname: Cosnay
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D005260:Female; D006801:Humans; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D012008:Recurrence; D013997:Time Factors; D016896:Treatment Outcome