Simultaneous adrenal pheochromocytoma and sarcoidosis.
A 48-year-old man presented for evaluation of general weakness. Because he had a history of excessive alcohol use, an abdominal computed tomography scan was obtained, which revealed a left adrenal mass. Hormonal evaluation showed elevated levels of urinary catecholamines. Bilateral hilar lymphadenopathy was detected on a chest radiograph. The suspected diagnosis was asymptomatic pheochromocytoma with sarcoidosis. We performed a mediastinoscopic lymph node biopsy, which was followed by endoscopic adrenalectomy. Histologic tissue analysis confirmed an adrenal pheochromocytoma and sarcoid granulomas in the mediastinal lymph nodes. This case highlights the difficulty in determining the appropriate work up of patients presenting with an adrenal incidentaloma and concomitant systemic disease.
Kim
Kyoung-Ah
KA
Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang-shi, Gyeonggi-do, Korea. kyoung-ah.kim@duih.org
Kim
Se Won
SW
Park
Gunmin
G
Kwak
Beom Seok
BS
Choi
Jae Sung
JS
Kim
Sun Ho
SH
Yeo
Jeong Seok
JS
Kim
Eo-Jin
EJ
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000315:Adrenalectomy; D002395:Catecholamines / Q000652:urine; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012507:Sarcoidosis / Q000150:complications*
D002395:Catecholamines