title: [Adrenal pheochromocytoma with multiple neurofibromatosis on the trunk].
abstract: We report a case of adrenal pheochromocytoma in a patient with neurofibromatosis type 1 (NF1). A 65-year-old female patient was admitted to our hospital for examination of a right adrenal mass. The adrenal tumor was incidentally discovered by abdominal computed tomography during examination for hypertension in another hospital. She had large multiple neurofibromatous lesions and café-au-lait spots on the trunk. We thought that it was difficult to make a skin incision on normal skin. Serum and urinary catecholamines were markedly increased. Magnetic resonance imaging revealed a solid round tumor 3 cm in diameter, located in the right adrenal gland. Laparoscopic right adrenalectomy was performed. Serum and urinary catecholamines returned to the normal range on post-operative day 10. Laparoscopic surgery may be a good option for NF1 patients with pheochromocytoma, especially those who had multiple neurofibromatosis on the trunk.
authors.affiliation: The Department of Urology, Hirosaki University Graduate School of Medicine.
authors.forename: Noriko
authors.initials: N
authors.lastname: Tokui
authors.forename: Teppei
authors.initials: T
authors.lastname: Okamoto
authors.forename: Kengo
authors.initials: K
authors.lastname: Imanishi
authors.forename: Naoki
authors.initials: N
authors.lastname: Sugiyama
authors.forename: Yu-Ichiro
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Ishimura
authors.forename: Shingo
authors.initials: S
authors.lastname: Hatakeyama
authors.forename: Shigemasa
authors.initials: S
authors.lastname: Kudoh
authors.forename: Takahiro
authors.initials: T
authors.lastname: Yoneyama
authors.forename: Takuya
authors.initials: T
authors.lastname: Koie
authors.forename: Noritaka
authors.initials: N
authors.lastname: Kamimura
authors.forename: Chikara
authors.initials: C
authors.lastname: Ohyama
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D000315:Adrenalectomy; D000368:Aged; D002395:Catecholamines / Q000032:analysis; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D009456:Neurofibromatosis 1 / Q000150:complications*; D010673:Pheochromocytoma / Q000150:complications* / Q000473:pathology / Q000601:surgery
chemical_list: D002395:Catecholamines