Modern management of pheochromocytoma.
BACKGROUND
A 55-year-old male with poorly controlled hypertension and a history of coronary artery disease presented with a large adrenal mass. The patient also reported a long-standing history of profuse sweating, tinnitus, vomiting and headaches.


METHODS
Physical examination, 24-hour urine metanephrine level, CT, MRI and bone scan.


METHODS
Pheochromocytoma of the left adrenal gland.


RESULTS
Preoperative alpha-blockade therapy with phenoxybenzamine followed by open left adrenalectomy.
Kasturi
Sanjay
S
Division of Urology, Department of Surgery, University of Pennsylvania Medical Center, 9 Penn Tower, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Kutikov
Alexander
A
Guzzo
Thomas J
TJ
Smith
Ariana L
AL
Wein
Alan J
AJ
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000628:therapy*; D000315:Adrenalectomy; D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008676:Metanephrine / Q000097:blood; D008875:Middle Aged; D010643:Phenoxybenzamine / Q000627:therapeutic use; D010673:Pheochromocytoma / Q000175:diagnosis / Q000628:therapy*
D000317:Adrenergic alpha-Antagonists; D010643:Phenoxybenzamine; D008676:Metanephrine