Four cases of pheochromocytoma in patients with end-stage renal disease.
Although pheochromocytoma in a patient with end-stage renal disease (ESRD) is considered extremely rare, we recently encountered 4 ESRD patients with pheochromocytoma. Three were symptomatic, and in the fourth patient the tumor was discovered as an adrenal incidentaloma. Plasma catecholamine levels were significantly increased in two patients. In each case, 131I-MIBG scintigraphy showed accumulation of the radionuclide in the adrenal tumor, which was identified by MRI or CT scanning, and adrenalectomy was conducted without serious complications. Although paroxysmal hypertension is a common symptom in patients with ESRD, pheochromocytoma must be eliminated by careful evaluation.
Saeki
Takako
T
Department of Internal Medicine, Nagaoka Red Cross Hospital, Nagaoka, Niigata.
Suzuki
Kensuke
K
Yamazaki
Hajime
H
Miyamura
Syoji
S
Koike
Hiroshi
H
Morishita
Hideo
H
Gejyo
Fumitake
F
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods; D000328:Adult; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications* / Q000601:surgery