title: [Adrenal incidentaloma associated to elevated urinary normethanephrine in a patient with high blood pressure].
abstract: 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.
authors.affiliation: Unidad de Endocrinología, Hospital San Agustín, Avilés, Asturias, España. cmacb@arrakis.es
authors.forename: Carmen
authors.initials: C
authors.lastname: Maciá Bobes
authors.forename: Aránzazu
authors.initials: A
authors.lastname: Ronzón Fernández
authors.forename: Isabel
authors.initials: I
authors.lastname: Alonso Troncoso
authors.forename: Gloria
authors.initials: G
authors.lastname: Castaño Fernéndez
authors.forename: Patricia
authors.initials: P
authors.lastname: Botas Cervero
authors.forename: Cristina
authors.initials: C
authors.lastname: García Delgado
mesh_terms: 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
chemical_list: D008676:Metanephrine
vernacular_title: Incidentaloma suprarrenal asociado a normetanefrina urinaria elevada en un paciente hipertenso.