The local spread of pheochromocytoma after adrenalectomy with a rupture of the tumor capsule at the time of the surgery

Ryszard Pogorzelski; Sadegh Toutounchi; Patryk Fiszer; Ewa Krajewska; Izabela Łoń; Łukasz Zapała; Maciej Skórski

doi:10.1515/med-2015-0049

The local spread of pheochromocytoma after adrenalectomy with a rupture of the tumor capsule at the time of the surgery

Open Med (Wars). 2015 Aug 4;10(1):335-337. doi: 10.1515/med-2015-0049. eCollection 2015.

Authors

Ryszard Pogorzelski¹, Sadegh Toutounchi¹, Patryk Fiszer¹, Ewa Krajewska¹, Izabela Łoń², Łukasz Zapała³, Maciej Skórski¹

Affiliations

¹ Clinic of General and Thoracic Surgery, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland.
² Clinic of Internal Medicine, Hypertensiology and Angiology, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland.
³ Multidisciplinary Hospital Warsaw-Miedzylesie, Warsaw, Poland.

Abstract

Introduction: We present a case of a 29-year-old patient treated due to fully symptomatic pheochromocytoma of the right adrenal gland.

Case presentation: Patient was operated on and an open right-sided adrenalectomy was performed. At the time of the surgery, a rupture of the tumor capsule occurred. Five years post-operatively, a recurrence of the symptoms of chromaffin-cell tumor was noted. After the exact localization of the multiple recurrences, the patient was reoperated on.

Conclusion: The case of pheochromocytoma is presented due to the possibility of chromaffin-cell seeding into the peritoneum, with no signs of distal metastases so far.

Keywords: malignant pheochromocytoma; metastases of pheochromocytoma; pheochromocytoma.

Publication types

Case Reports