Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
Four Cases of Pheochromocytoma in Patients with End-stage Renal Disease
Takako SAEKIKensuke SUZUKIHajime YAMAZAKISyoji MlYAMURAHiroshi KOIKEHideo MORISHITAFumitake GEJYO
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2003 Volume 42 Issue 10 Pages 1011-1015

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Abstract

Although pheochromocytoma in a patient with endstage renal disease (ESRD) is considered extremely rare, we recently encountered 4 ESRD patients with pheochromocytoma. Three were symptomatic, and in the fourth patient the tumor was discovered as an adrenal incidentaloma. Plasma catecholamine levels were significantly increased in two patients. In each case, 131I-MIBG scintigraphy showed accumulation of the radionuclide in the adrenal tumor, which was identified by MRI or CT scanning, and adrenalectomy was conducted without serious complications. Although paroxysmal hypertension is a common symptom in patients with ESRD, pheochromocytoma must be eliminated by careful evaluation.
(Internal Medicine 42: 1011-1015, 2003)

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