Paraganglioma (a case report)

Keimyung Medical Journal 1988;7(1):172-177.

갈색세포종(증례보고)

조원현; 이상숙; 장은숙; 박영관; 예석형

Abstract

Pheochromocytoma is a tumor which produces catecholamine and its metabolites and are usually benign unilateral neoplasm of adrenal medulla in more than 80%. In rare cases; it may arise in an extraadrenal sites including perirenal fat; paraganglia; urinary bladder; chest and neck. In less than 1% of hypertension population; pheochromocytoma is a cause of hypertension and most of these cases are curative by surgery. The most common clinical finding is hypertension and it has three frequent symptoms of headache; palpitation and perspiration. The tumor can be diagnosed by urinary excretion of catecholamine and their metabolites such as vanillylmandelic acid and metanephrines. Other serologic test and pharmacologic test are also used for diagnosis. For better localization of the tumor; compeuterlized tomogram; 1131 MIBG scintigram; selective arteriogram and selective caval sampling for catecholamine are used. Authors experienced an extraadrenal pheochromocytoma in 71 years old male with intermittent hypertension and huge abdominal mass so reported the case and reviewed literature.