[Experience of laparoscopic surgery of pheochromocytoma found on induction for hemodialysis].
A 64-year-old female patient had been receiving hemodialysis since June 2008. A left adrenal mass, 2.5 cm in diameter, was incidentally found by screening computed tomography at the initiation of hemodialysis. Plasma epinephrine and norepinephrine were increased to 1.21 ng/ml and 4.71 ng/ml, respectively. In the scintiscan using ¹²³I-metaiodobenzylguanidine (MIBG), accumulation of the radionuclide in the left adrenal tumor region was confirmed. Laparoscopic left adrenalectomy was performed without peri-operative complications under the diagnosis of left pheochromocytoma. The elevated catecholamines and the blood pressure were restored after surgery.
The Department of Urology, Hirosaki University Graduate School of Medicine, Japan.
Naoki
N
Sugiyama
Yuichiro
Y
Suzuki
Akiko
A
Okamoto
Hayato
H
Yamamoto
Shigemasa
S
Kudo
Shingo
S
Hatakeyama
Takahiro
T
Yoneyama
Yasuhiro
Y
Hashimoto
Takuya
T
Koie
Noritaka
N
Kamimura
Chikara
C
Ohyama
D019797:3-Iodobenzylguanidine; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D000315:Adrenalectomy; D005260:Female; D006801:Humans; D033162:Incidental Findings; D010535:Laparoscopy; D008875:Middle Aged; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D006435:Renal Dialysis
D019275:Radiopharmaceuticals; D019797:3-Iodobenzylguanidine