Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of cystic pheochromocytoma weighing 5,900 g
Koji OKUDATatsuya NISHIZAWATakahiro OSHIMAKazuhito MISAWA
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2013 Volume 74 Issue 4 Pages 1075-1080

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Abstract
We report a case of a surgically resected giant cystic pheochromocytoma. A 43-year-old female had a large abdominal mass. A computed tomography scan revealed a large, multicystic tumor with a maximum diameter of 26 cm occupying almost the entire abdominal cavity. The blood supply to the tumor suggested that its origin was the left adrenal grand ; subsequently, a diagnosis of pheochromocytoma was established based on urinalysis showing elevated catecholamine metabolite levels. A surgical resection of the left adrenal pheochromocytoma along with the left kidney was performed. The postoperative course was uneventful. The resected tumor mass weighed 5,900 g. On histopathology, the diagnosis of a well-differentiated pheochromocytoma with a relatively low risk of developing metastases was confirmed. To our knowledge, this is the first report of a patient surviving surgical resection of a giant pheochromocytoma weighing over 5,000 g.
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© 2013 Japan Surgical Association
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