[Adrenal incidentaloma associated to elevated urinary normethanephrine in a patient with high blood pressure].
OBJECTIVE
To report one case of adrenal incidentaloma and to review the sensitivity and specificity of urine methanephrines in the diagnosis of pheochromocytoma.


METHODS
We report the case of a patient with high blood pressure and a left adrenal incidentaloma. Surgical excision of the mass was indicated after elevated urine methanephrine.


RESULTS
Pathologic study of the nodule established the diagnosis of cortical adenoma.


CONCLUSIONS
The elevation of urine normethanephrine is a non-specific parameter for the diagnosis of pheochromocytoma.
Maciá Bobes
Carmen
C
Unidad de Endocrinología, Hospital San Agustín, Avilés, Asturias, España. cmacb@arrakis.es
Ronzón Fernández
Aránzazu
A
Alonso Troncoso
Isabel
I
Castaño Fernéndez
Gloria
G
Botas Cervero
Patricia
P
García Delgado
Cristina
C
D000236:Adenoma / Q000175:diagnosis* / Q000601:surgery / Q000652:urine; D000306:Adrenal Cortex Neoplasms / Q000175:diagnosis* / Q000601:surgery / Q000652:urine; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000209:etiology* / Q000628:therapy / Q000652:urine; D008297:Male; D008676:Metanephrine / Q000652:urine*; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000652:urine; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D016896:Treatment Outcome
D008676:Metanephrine
Incidentaloma suprarrenal asociado a normetanefrina urinaria elevada en un paciente hipertenso.