title: Evaluation of an adrenal mass in a patient with progressive prostate cancer reveals pheochromocytoma.
abstract: Adrenal masses in cancer patients pose diagnostic problems. We report the case of a 59 years old male with a history of prostate cancer who presented to us with serially rising prostate specific antigen. On imaging studies he had bone lesions and in addition had a 1.7 cm left adrenal mass. Since metastasis to the adrenal gland has rarely been reported in prostate cancer, and since the radiological criteria in our case favored malignancy, we proceeded with hormonal evaluation and fine needle aspiration biopsy of the adrenal mass which proved it to be pheochromocytoma. This was followed by an uneventful adrenalectomy.
authors.affiliation: University of Arkansas for Medical Sciences, Little Rock, AR, USA. mir.alikhan@srfc.com
authors.forename: Mir A
authors.initials: MA
authors.lastname: Alikhan
authors.forename: Robert
authors.initials: R
authors.lastname: Williams
authors.forename: Kumar
authors.initials: K
authors.lastname: Udaya
authors.forename: Robert F
authors.initials: RF
authors.lastname: Shaefer
authors.forename: Sanjaya C
authors.initials: SC
authors.lastname: Viswamitra
authors.forename: Manish
authors.initials: M
authors.lastname: Kohli
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000097:blood / Q000473:pathology* / Q000601:surgery; D000315:Adrenalectomy; D044963:Biopsy, Fine-Needle; D006801:Humans; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000097:blood / Q000473:pathology* / Q000601:surgery; D010673:Pheochromocytoma / Q000097:blood / Q000473:pathology* / Q000601:surgery; D017430:Prostate-Specific Antigen / Q000097:blood; D011471:Prostatic Neoplasms / Q000097:blood / Q000473:pathology* / Q000601:surgery
chemical_list: D017430:Prostate-Specific Antigen