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The Japanese journal of surgery

, Volume 14, Issue 3, pp 239–243 | Cite as

Pheochromocytoma without specific symptoms

  • Takayoshi Naruse
  • Akihiko Koike
  • Taiseki Kanemitsu
  • Kenichi Kato
  • Toshiaki Ishii
  • Kazuyoshi Suzumura
  • Kozo Matsumoto
Original Articles

Abstract

A 72-year-old Japanese woman with pheochromocytoma, who had had no characteristic symptoms was treated. A large retroperitoneal tumor was discovered incidentally by sonographic examination for mild upper abdominal pain and, with CT-scan and abdominal angiography confirmed that the tumor originated in the right adrenal gland. The tumor was suspected of being a pheochromocytoma because preoperative laboratory examinations revealed only a mild elevation of daily urinary excretions of adrenaline and noradrenaline. Provocation tests for pheochromocytoma and even angiographic examination revealed no diagnostic change in serum levels of catecholamines and distinctive clinical signs were nil. Thus, surgery was performed without preoperative prescription of any catecholamine blockade. During the surgery, the blood pressure and pulse rate fluctuated considerably. A non-functioning pheochromocytoma detected incidentally must be preoperatively managed as a functioning one, even in the absence of specific symptoms of pheochromocytoma.

Key Words

pheochromocytoma incidentaloma preoperative management 

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References

  1. 1.
    Geelhoed GW, Druy EM. Management of the “incidentaloma”. Surgery 1982; 92: 866–873.PubMedGoogle Scholar
  2. 2.
    Kawasaki S, Nakamura T, Nabeshima S, Sakio H, Yoshida Y, Shimamura K. Unsuspected curcurrent pheochromocytoma. Jpn J. Anest. 1977; 26: 466–470. (in Japanese)Google Scholar
  3. 3.
    Murata T, Fujii K, Fukami K, Funada K, Tozawa N, Takeuchi M, Sato C. A case with huge pheochromocytoma diagnosed preoperatively a submucosal tumor of the stomach. Jpn J. Gastroenterology 1976; 73: 993–994. (in Japanese)Google Scholar
  4. 4.
    Masaoka A, Yasumitsu T, Tani Y, Kin M, Yoshida I. Intrathoracic Pheochromocytoma. Jpn J. Thoracic Surg. 1978; 31: 870–874. (in Japanese)Google Scholar
  5. 5.
    St John Sutton MG, Sheps SG, Lie JT. Prevalence of clinically unsuspected pheochromocytoma. Review of a 50-year autopsy series. Mayo Clin. Proc. 1981; 56: 354–360.Google Scholar

Copyright information

© The Japan Surgical Society 1984

Authors and Affiliations

  • Takayoshi Naruse
    • 1
  • Akihiko Koike
    • 1
  • Taiseki Kanemitsu
    • 1
  • Kenichi Kato
    • 1
  • Toshiaki Ishii
    • 1
  • Kazuyoshi Suzumura
    • 1
  • Kozo Matsumoto
    • 1
  1. 1.The First Department of SurgeryAichi Medical UniversityAichiJapan

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