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1. Zhu Y, He HC, Yuan F, Zhang J, Rui WB, Zhao JP, Shen ZJ, Ning G: Heparanase-1 and Cyclooxygenase-2: prognostic indicators of malignancy in pheochromocytomas. Endocrine; 2010 Aug;38(1):93-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The objective of this article is to evaluate Heparanase-1 and Cyclooxygenase-2 as tissue-based markers of pheochromocytoma prognosis.
  • Ninety-two sporadic pheochromocytoma patients with a minimum of 8-year follow-up post-diagnosis were enrolled.
  • Slides of normal adrenal glands in nephrectomy specimens from 20 patients with benign renal tumors were as control.
  • Positive staining for Heparanase-1 was observed in 23.68% of the benign and 77.78% of the malignant cases, whereas none of the normal adrenal controls showed positive staining.
  • Similarly, Cyclooxygenase-2 staining was seen in 23.68% of the benign versus 83.33% of the malignant cases, and none of the normal controls appeared positive for Cyclooxygenase-2.
  • Malignant cases showed higher microvessel density compared to benign tumors and normal controls (36.41, 21.43, and 13.36%, respectively).
  • Heparanase-1 and Cyclooxygenase-2 combined is better than their own to be used as a marker to distinguish malignant from benign pheochromocytoma.
  • [MeSH-major] Adrenal Gland Neoplasms / metabolism. Cyclooxygenase 2 / metabolism. Eukaryotic Initiation Factor-3 / metabolism. Glucuronidase / metabolism. Pheochromocytoma / metabolism

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  • (PMID = 20960108.001).
  • [ISSN] 1559-0100
  • [Journal-full-title] Endocrine
  • [ISO-abbreviation] Endocrine
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / EIF3A protein, human; 0 / Eukaryotic Initiation Factor-3; EC 1.14.99.1 / Cyclooxygenase 2; EC 3.2.1.- / heparanase; EC 3.2.1.31 / Glucuronidase
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2. Madani R, Al-Hashmi M, Bliss R, Lennard TW: Ectopic pheochromocytoma: does the rule of tens apply? World J Surg; 2007 Apr;31(4):849-54
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  • [Title] Ectopic pheochromocytoma: does the rule of tens apply?
  • INTRODUCTION: The rule of "tens" is often stated to reflect the distribution and histology of pheochromocytomas, with 10% being bilateral, 10%; ectopic in origin, and 10%; malignant.
  • METHODS: Retrospective data were collected on all adrenalectomies and ectopic pheochromocytoma resections performed between 1993 and 2005 at our institution.
  • RESULTS: In total, 77 patients had pheochromocytomas: 75%; (58/77) adrenal and 25%; (19/77) ectopic.
  • Of the adrenal pheochromocytomas, 10%; (6/58) were bilateral.
  • CONCLUSIONS: Our series demonstrates an incidence of 10%; for bilateral pheochromocytoma, which is similar to that in the published reports.
  • [MeSH-major] Adrenal Gland Neoplasms / pathology. Adrenal Gland Neoplasms / surgery. Pheochromocytoma / pathology. Pheochromocytoma / surgery


3. Fassnacht M, Weismann D, Ebert S, Adam P, Zink M, Beuschlein F, Hahner S, Allolio B: AKT is highly phosphorylated in pheochromocytomas but not in benign adrenocortical tumors. J Clin Endocrinol Metab; 2005 Jul;90(7):4366-70
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  • [Title] AKT is highly phosphorylated in pheochromocytomas but not in benign adrenocortical tumors.
  • Immunohistochemistry for total AKT and pAKT was performed in pheochromocytomas (n = 8), ACC (n = 4), and normal adrenal glands (n = 2).
  • MAIN OUTCOME MEASURES: Determination of pAKT/total AKT ratio in adrenal tissues was the main outcome.
  • [MeSH-major] Adrenal Cortex Neoplasms / metabolism. Adrenal Gland Neoplasms / metabolism. Pheochromocytoma / metabolism. Protein-Serine-Threonine Kinases / metabolism. Proto-Oncogene Proteins / metabolism

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  • (PMID = 15855265.001).
  • [ISSN] 0021-972X
  • [Journal-full-title] The Journal of clinical endocrinology and metabolism
  • [ISO-abbreviation] J. Clin. Endocrinol. Metab.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Proto-Oncogene Proteins; 0 / Tumor Suppressor Proteins; EC 2.7.1.- / Phosphatidylinositol 3-Kinases; EC 2.7.11.1 / AKT1 protein, human; EC 2.7.11.1 / Protein-Serine-Threonine Kinases; EC 2.7.11.1 / Proto-Oncogene Proteins c-akt; EC 3.1.3.- / Phosphoric Monoester Hydrolases; EC 3.1.3.48 / PTEN protein, human; EC 3.1.3.67 / PTEN Phosphohydrolase
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4. López SC, Fernández DE, Creagh O: Anesthetic management of a patient undergoing surgery for bilateral pheochromocytoma: a case report. Bol Asoc Med P R; 2010 Apr-Jun;102(2):31-2
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  • [Title] Anesthetic management of a patient undergoing surgery for bilateral pheochromocytoma: a case report.
  • Patients with pheochromocytoma may develop potentially lethal cardiovascular and other complications, especially in the setting of diagnostic or interventional procedures (e.g. upon induction of anesthesia or during surgery).
  • Perioperative management of patients with pheochromocytoma requires detailed knowledge on the pathophysiology and potential complications.
  • This is a case of a 38 year-old, male, with history of bilateral pheochromocyto-, ma, and hypertension secondary to pheochromocytoma, that was scheduled for open bilateral cortical-sparing adrenalectomy under general anesthesia combined with thoracic epidural anesthesia.
  • Although resection of bilateral pheochromocytomas continues being a challenging situation for the anesthetic management, morbidity and mortality can be significantly decreased with preoperative alpha-antagonists treatment, as well as volume restoration, vasoactive drugs, and closely monitoring intra- and postoperatively.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Anesthesia. Pheochromocytoma / surgery


5. Waldmann J, Bartsch DK, Kann PH, Fendrich V, Rothmund M, Langer P: Adrenal involvement in multiple endocrine neoplasia type 1: results of 7 years prospective screening. Langenbecks Arch Surg; 2007 Jul;392(4):437-43
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  • [Title] Adrenal involvement in multiple endocrine neoplasia type 1: results of 7 years prospective screening.
  • BACKGROUND: Adrenal tumors are a common manifestation of the multiple endocrine neoplasia type 1 (MEN-1) syndrome.
  • Adrenal glands have been screened by biochemical analysis and either by endoscopic ultrasound (EUS) or computed tomography (CT) or both.
  • Age at diagnosis of MEN-1, type of adrenal tumor, genotype, therapy, and clinical characteristics have been analyzed.
  • RESULTS: In 21 (55%) patients, adrenal involvement of the disease was detected.
  • Adrenal lesions were detected in average 6.9 years after the initial diagnosis of MEN-1.
  • Twelve patients had unilateral while nine had bilateral adrenal lesions.
  • EUS detected all adrenal tumors, whereas CT failed in seven cases.
  • In three patients, functioning tumors (one pheochromocytoma, one bilateral Cushing adenoma, and one adrenocortical carcinoma) and one nonfunctioning adenoma were diagnosed by histology and biochemical assessment.
  • Nonfunctioning adrenal lesions, not characterized by histology yet, were found in 18 patients.
  • There was no statistical difference with regard to adrenal involvement between patients with germline mutations in exons 2 and 10 (12/21) and those with mutations in exons 3-9 (6/11).
  • CONCLUSION: MEN-1-associated adrenal tumors are mostly small, benign, and nonfunctioning and much more common than previously reported.
  • [MeSH-major] Adrenal Gland Neoplasms. Multiple Endocrine Neoplasia Type 1

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  • (PMID = 17235589.001).
  • [ISSN] 1435-2443
  • [Journal-full-title] Langenbeck's archives of surgery
  • [ISO-abbreviation] Langenbecks Arch Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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6. Rodriguez JM, Balsalobre M, Ponce JL, Ríos A, Torregrosa NM, Tebar J, Parrilla P: Pheochromocytoma in MEN 2A syndrome. Study of 54 patients. World J Surg; 2008 Nov;32(11):2520-6
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  • [Title] Pheochromocytoma in MEN 2A syndrome. Study of 54 patients.
  • BACKGROUND: Pheochromocytoma occurs in nearly 50% of MEN 2A (multiple endocrine neoplasia, type 2A) cases.
  • PATIENTS AND METHODS: Of 169 patients belonging to 19 MEN 2A families, 54 (32%) presented with pheochromocytoma.
  • The diagnosis of pheocromocytoma was made after the diagnosis of MTC in 26 cases (48.2%), simultaneously in 21 (38.9%), and prior in the 7 remaining cases (12.9%).
  • At the time of diagnosis 28 patients (51.8%) were asymptomatic and 26 (48.2%) had clinical features related to pheochromocytoma.
  • The CT scan did not provide a correct diagnosis in 6 patients with bilateral lesions, and one patient with a bilateral tumor was not diagnosed by MIBG.
  • The pheochromocytoma was bilateral in 27 cases, with a total number of 81 pathological glands detected.
  • There was a greater frequency of pheochromocytoma in those subjects who had the Cys634Arg mutation (p < 0.03).
  • In addition, the Cys634Arg mutation is more frequent in bilateral cases.
  • CONCLUSIONS: Pheochromocytoma in MEN 2A is related to the type of mutation, which can be early onset and is frequently asymptomatic.
  • Its diagnosis requires catecholamines determinations as well as a CT scan.
  • Correct diagnosis of bilaterality is established by CT and MIBG.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Adrenal Gland Neoplasms / surgery. Adrenalectomy. Multiple Endocrine Neoplasia Type 2a / complications. Pheochromocytoma / diagnosis. Pheochromocytoma / surgery

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  • (PMID = 18795243.001).
  • [ISSN] 0364-2313
  • [Journal-full-title] World journal of surgery
  • [ISO-abbreviation] World J Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] EC 2.7.10.1 / Proto-Oncogene Proteins c-ret; EC 2.7.10.1 / RET protein, human
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10. Rodríguez González O, Amador García I, Martín Iglesias A, Rodríguez Germa I, Besada Estévez JC: [Esmolol to control hemodynamic response during removal of a bilateral pheochromocytoma from a 10-year-old girl]. Rev Esp Anestesiol Reanim; 2010 Aug-Sep;57(7):454-7
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  • [Title] [Esmolol to control hemodynamic response during removal of a bilateral pheochromocytoma from a 10-year-old girl].
  • [Transliterated title] Manejo hemodinámico intraoperatorio con esmolol durante la extirpación de un feocromocitoma bilateral en una paciente de 10 años.
  • We report a case in which esmolol was used during surgery in a 10-year-old girl undergoing scheduled removal of a bilateral pheochromocytoma.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenergic beta-Antagonists / therapeutic use. Hemodynamics / drug effects. Intraoperative Care / methods. Pheochromocytoma / surgery. Propanolamines / therapeutic use

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  • (PMID = 20857641.001).
  • [ISSN] 0034-9356
  • [Journal-full-title] Revista española de anestesiología y reanimación
  • [ISO-abbreviation] Rev Esp Anestesiol Reanim
  • [Language] spa
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Spain
  • [Chemical-registry-number] 0 / Adrenergic beta-Antagonists; 0 / Propanolamines; MDY902UXSR / esmolol
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11. Asari R, Scheuba C, Kaczirek K, Niederle B: Estimated risk of pheochromocytoma recurrence after adrenal-sparing surgery in patients with multiple endocrine neoplasia type 2A. Arch Surg; 2006 Dec;141(12):1199-205; discussion 1205
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  • [Title] Estimated risk of pheochromocytoma recurrence after adrenal-sparing surgery in patients with multiple endocrine neoplasia type 2A.
  • HYPOTHESIS: Adrenal-sparing adrenalectomy is considered the treatment of choice for hereditary bilateral pheochromocytoma in patients with multiple endocrine neoplasia type 2A (MEN 2A).
  • PATIENTS: In 17 (22%) of 77 patients with various mutations of the RET proto-oncogene, unilateral (n = 12) or bilateral (n = 5) pheochromocytomas were documented at the time of diagnosis or during the course of MEN 2A.
  • Adrenal-sparing surgery was performed in 13 patients (group 1), synchronous bilateral total adrenalectomy in 4 patients (group 2A), and metachronous bilateral total adrenalectomy in 5 patients after adrenal-sparing adrenalectomy (group 2B).
  • MAIN OUTCOME MEASURES: Measurement of 24-hour urinary catecholamine levels (noradrenaline, adrenaline, and dopamine) and, in case of high catecholamine levels, imaging studies to localize the tumors in 1 or both adrenal glands to determine the size and exclude extra-adrenal tumors and distant metastasis.
  • CONCLUSIONS: Substantial morbidity and mortality are associated with addisonian crisis after bilateral adrenalectomy.
  • Adrenal-sparing adrenalectomy and close monitoring of the remnant may be the treatment of choice for hereditary bilateral pheochromocytoma in MEN 2A, since overall recurrence is low.
  • [MeSH-major] Adrenal Gland Neoplasms / epidemiology. Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Multiple Endocrine Neoplasia Type 2a. Neoplasm Recurrence, Local / epidemiology. Neoplasms, Multiple Primary. Pheochromocytoma / epidemiology. Pheochromocytoma / surgery


12. Anaforoglu I, Ertorer ME, Haydardedeoglu FE, Colakoglu T, Tokmak N, Demirag NG: Rhabdomyolysis and acute myoglobinuric renal failure in a patient with bilateral pheochromocytoma following open pyelolithotomy. South Med J; 2008 Apr;101(4):425-7
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  • [Title] Rhabdomyolysis and acute myoglobinuric renal failure in a patient with bilateral pheochromocytoma following open pyelolithotomy.
  • Rhabdomyolysis is an unusual manifestation of pheochromocytoma.
  • Early diagnosis and prompt management are crucial, as it may have life-threatening consequences.
  • This is the case of a 19-year-old man with bilateral pheochromocytoma complicated with rhabdomyolysis and acute myoglobinuric renal failure after surgery for nephrolithiasis.
  • After making sure that all necessary medical precautions were performed, including blood pressure stabilization with alpha receptor blockade and adequate fluid replacement, the patient successfully underwent a bilateral cortex-sparing medullar adrenalectomy.
  • The operation specimen was reported as pheochromocytoma.
  • [MeSH-major] Acute Kidney Injury / etiology. Adrenal Gland Neoplasms / etiology. Myoglobinuria / etiology. Pheochromocytoma / etiology. Postoperative Complications / etiology. Rhabdomyolysis / complications


13. Takata MC, Kebebew E, Clark OH, Duh QY: Laparoscopic bilateral adrenalectomy: results for 30 consecutive cases. Surg Endosc; 2008 Jan;22(1):202-7
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  • [Title] Laparoscopic bilateral adrenalectomy: results for 30 consecutive cases.
  • BACKGROUND: Most patients requiring bilateral adrenalectomy have adrenocorticotropin hormone (ACTH)-dependent Cushing's syndrome.
  • This study aimed to analyze the indications, safety, efficacy, and outcomes for laparoscopic bilateral adrenalectomy from the authors' experience.
  • Between March 1996 and August 2006, 30 consecutive patients underwent simultaneous laparoscopic bilateral adrenalectomy.
  • The indications for bilateral adrenalectomy were refractory Cushing's disease (n = 16), occult ectopic ACTH syndrome (n = 9), and bilateral pheochromocytoma (n = 5).
  • Laparoscopic bilateral adrenalectomy was completed for all the patients with no intraoperative complications.
  • At this writing, the patients with Cushing's syndrome available for follow-up evaluation continue to receive steroid replacement, and all the pheochromocytoma patients have experienced a documented postoperative biochemical cure.
  • CONCLUSIONS: Laparoscopic bilateral adrenalectomy is safe and effective for this high-risk patient population.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Laparoscopy / methods
  • [MeSH-minor] Adolescent. Adult. Cohort Studies. Cushing Syndrome / diagnosis. Cushing Syndrome / mortality. Cushing Syndrome / surgery. Female. Follow-Up Studies. Humans. Male. Middle Aged. Minimally Invasive Surgical Procedures / methods. Pheochromocytoma / diagnosis. Pheochromocytoma / mortality. Pheochromocytoma / surgery. Retrospective Studies. Risk Assessment. Survival Rate. Time Factors. Treatment Outcome

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  • (PMID = 17623238.001).
  • [ISSN] 1432-2218
  • [Journal-full-title] Surgical endoscopy
  • [ISO-abbreviation] Surg Endosc
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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14. Ng JM: The partial CO2 rebreathing cardiac output measurement during laparoscopic resection of bilateral pheochromocytoma. Anesth Analg; 2006 Dec;103(6):1600-1
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  • [Title] The partial CO2 rebreathing cardiac output measurement during laparoscopic resection of bilateral pheochromocytoma.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Carbon Dioxide. Pheochromocytoma / surgery


15. Zhou GW, Wei Y, Chen X, Jiang XH, Li XY, Ning G, Li HW: Diagnosis and surgical treatment of multiple endocrine neoplasia. Chin Med J (Engl); 2009 Jul 5;122(13):1495-500
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  • [Title] Diagnosis and surgical treatment of multiple endocrine neoplasia.
  • We discuss the diagnosis and surgical treatment of MEN.
  • There were 22 cases of primary hyperparathyroidism (PHPT), 10 cases of enteropanceatic tumor including 9 cases of insulinoma, 15 cases of pituitary adenoma, 9 cases of adrenal adenoma, 2 cases of thymic carcinoid.
  • Two patients had 4 glands involved, 3 patients had 3 glands involved, 16 patients had 2 glands involved, and 6 patients had only one gland involved.
  • 27 patients had pheochromocytoma including 12 cases of multiple foci and 5 malignancy.
  • Among them, 3 patients had bilateral pheochromocytoma.
  • Total thyroidectomy with bilateral dissection of regional lymph nodes was performed in 16 patients with MEN2a and nodule enucleation was performed in 9 patients.
  • Twenty two MEN2a patients underwent pheochromocytoma enucleation including bilateral adrenal resection in 10 cases.
  • 5 MEN2b patients underwent total thyroidectomy with bilateral lymph node dissection.
  • Among them, 3 cases underwent bilateral adrenal operations.
  • Germline mutation test is helpful in establishing a diagnosis.

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  • (PMID = 19719936.001).
  • [ISSN] 0366-6999
  • [Journal-full-title] Chinese medical journal
  • [ISO-abbreviation] Chin. Med. J.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] China
  • [Chemical-registry-number] 0 / Codon; 0 / MEN1 protein, human; 0 / Proto-Oncogene Proteins; EC 2.7.10.1 / Proto-Oncogene Proteins c-ret; EC 2.7.10.1 / RET protein, human
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16. Brenner N, Kopetschke R, Ventz M, Strasburger CJ, Quinkler M, Gerl H: Cushing's syndrome due to ACTH-secreting pheochromocytoma. Can J Urol; 2008 Feb;15(1):3924-7
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  • [Title] Cushing's syndrome due to ACTH-secreting pheochromocytoma.
  • We report a case of ectopic ACTH syndrome caused by a pheochromocytoma.
  • Endocrinological investigation confirmed the diagnosis of ectopic ACTH production and revealed markedly elevated urinary catecholamines leading to the diagnosis of pheochromocytoma.
  • Abdominal computerized tomography (CT) scan showed a 3.5 cm left adrenal mass and a nodular hypertrophic right adrenal gland.
  • Bilateral selective adrenal vein catheterization suggested bilateral pheochromocytoma.
  • After treatment with phenoxybenzamine, bilateral adrenalectomy was performed and resulted in remission of Cushing's syndrome and hypertensive crisis.
  • In addition, this article provides a short guideline for endocrine testing if Cushing's disease or pheochromocytoma is suspected.
  • [MeSH-major] ACTH Syndrome, Ectopic / complications. Adrenal Gland Neoplasms / complications. Adrenal Gland Neoplasms / secretion. Adrenocorticotropic Hormone / secretion. Cushing Syndrome / etiology. Pheochromocytoma / complications. Pheochromocytoma / secretion


17. Hasani-Ranjbar S, Amoli MM, Ebrahim-Habibi A, Haghpanah V, Hejazi M, Soltani A, Larijani B: Mutation screening of VHL gene in a family with malignant bilateral pheochromocytoma: from isolated familial pheochromocytoma to von Hippel-Lindau disease. Fam Cancer; 2009;8(4):465-71
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  • [Title] Mutation screening of VHL gene in a family with malignant bilateral pheochromocytoma: from isolated familial pheochromocytoma to von Hippel-Lindau disease.
  • von Hippel-Lindau (vHL) disease is an inherited, autosomal dominant syndrome manifested by a variety of benign and malignant tumors.
  • It was detected in a family with bilateral malignant pheochromocytoma who has been followed for at least 9 years as RET negative isolated familial pheochromocytoma, finally diagnosed as von Hipple-Lindau disease according to retinal angioma and VHL gene mutation.
  • VHL type 2 presenting with both pheochromocytoma and retinal angioma in this family found to be associated with the new missense mutation (c499 C>T) of VHL gene.
  • [MeSH-major] Adrenal Gland Neoplasms / genetics. Pheochromocytoma / genetics. Von Hippel-Lindau Tumor Suppressor Protein / genetics. von Hippel-Lindau Disease / genetics

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  • [ISSN] 1573-7292
  • [Journal-full-title] Familial cancer
  • [ISO-abbreviation] Fam. Cancer
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
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18. Jansson S, Khorram-Manesh A, Nilsson O, Kölby L, Tisell LE, Wängberg B, Ahlman H: Treatment of bilateral pheochromocytoma and adrenal medullary hyperplasia. Ann N Y Acad Sci; 2006 Aug;1073:429-35
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  • [Title] Treatment of bilateral pheochromocytoma and adrenal medullary hyperplasia.
  • The risk for bilateral tumors and long-term outcome after conservative cortical-sparing adrenal surgery was studied in a consecutive single-center series.
  • One hundred fifty-four patients were operated on (1950-2004) for pheochromocytoma (PC=137), or abdominal paraganglioma (PG=17).
  • Twelve patients had, or developed, bilateral adrenal medullary tumors; four with MEN 2A, four with MEN 2B, three with VRD, and one with probably hereditary PC associated with brain tumors/meningioma.
  • Two patients with MEN 2B and one with MEN 2A with had bilateral adrenalectomy (adx).
  • Only three of nine patients with bilateral operations needed corticosteroid replacement after surgery.
  • Cortical-sparing adrenal surgery can safely be performed in the majority of patients with bilateral PC.
  • On the basis of our long-term experience of MEN 2A we perform contralateral adrenal resection only if a second PC is confirmed.
  • Five patients underwent adrenal exploration because of clinical and biochemical findings compatible with PC.
  • In this rare condition removal of the largest adrenal seems adequate.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenal Medulla / pathology. Pheochromocytoma / surgery

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  • (PMID = 17102111.001).
  • [ISSN] 0077-8923
  • [Journal-full-title] Annals of the New York Academy of Sciences
  • [ISO-abbreviation] Ann. N. Y. Acad. Sci.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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19. Raue F, Frank-Raue K: Update multiple endocrine neoplasia type 2. Fam Cancer; 2010 Sep;9(3):449-57
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  • It is clinically characterized by the presence of medullary thyroid carcinoma (MTC), bilateral pheochromocytoma and primary hyperparathyroidism (MEN2A) within a single patient.
  • Three distinct clinical forms have been described depending on the phenotype: the classical MEN 2A, MEN 2B, an association of MTC, pheochromocytoma and mucosal neuroma, (FMTC) familial MTC with a low incidence of other endocrinopathies.
  • MEN 2 gives a unique model for early prevention and cure of cancer and for stratified roles of mutation-based diagnosis of carriers.

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  • (PMID = 20087666.001).
  • [ISSN] 1573-7292
  • [Journal-full-title] Familial cancer
  • [ISO-abbreviation] Fam. Cancer
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Netherlands
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20. Bausch B, Koschker AC, Fassnacht M, Stoevesandt J, Hoffmann MM, Eng C, Allolio B, Neumann HP: Comprehensive mutation scanning of NF1 in apparently sporadic cases of pheochromocytoma. J Clin Endocrinol Metab; 2006 Sep;91(9):3478-81
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  • [Title] Comprehensive mutation scanning of NF1 in apparently sporadic cases of pheochromocytoma.
  • BACKGROUND: Pheochromocytoma is a rare manifestation in patients with neurofibromatosis type 1 (NF 1).
  • The 57-exon susceptibility gene NF1 has so far not been systematically scanned for unexpected germline mutations in individuals with sporadic pheochromocytoma.
  • METHODS: Twenty-seven patients with bilateral adrenal and/or extraadrenal abdominal pheochromocytoma not carrying germline mutations of the genes VHL, RET, SDHB, and SDHD were selected from the European-American pheochromocytoma registry.
  • Clinical reevaluation of this individual, who had bilateral pheochromocytoma, revealed classic, but very mild, features of NF 1, one cutaneous neurofibroma, axillary freckling, and Lisch nodules of the iris as well as a few café-au-lait spots.
  • CONCLUSIONS: In the absence of germline mutations in VHL, RET, SDHD, and SDHB, patients with pheochromocytoma, especially with bilateral disease, should be checked thoroughly for clinical lesions suggestive of underlying syndromes such as the cutaneous and ophthalmological features characteristic of NF 1.
  • [MeSH-major] Adrenal Gland Neoplasms / genetics. Neurofibromatosis 1 / genetics. Pheochromocytoma / genetics


21. Watanabe A, Shimoda T, Takeuchi M, Tachibana K, Kinouchi K: [Anesthetic management for a child with bilateral pheochromocytoma]. Masui; 2010 Mar;59(3):397-400
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  • [Title] [Anesthetic management for a child with bilateral pheochromocytoma].
  • We report anesthetic management for a 13-year-old boy undergoing surgical removal of the bilateral adrenal pheochromocytoma.
  • Dopamine and noradrenaline were used to prevent the hypotension after the ligation of the adrenal veins.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Anesthesia, General. Perioperative Care. Pheochromocytoma / surgery

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  • (PMID = 20229765.001).
  • [ISSN] 0021-4892
  • [Journal-full-title] Masui. The Japanese journal of anesthesiology
  • [ISO-abbreviation] Masui
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Japan
  • [Chemical-registry-number] 0 / Antihypertensive Agents
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22. Yang JH, Bae SJ, Park S, Park HK, Jung HS, Chung JH, Min YK, Lee MS, Kim KW, Lee MK: Bilateral pheochromocytoma associated with paraganglioma and papillary thyroid carcinoma: report of an unusual case. Endocr J; 2007 Apr;54(2):227-31
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  • [Title] Bilateral pheochromocytoma associated with paraganglioma and papillary thyroid carcinoma: report of an unusual case.
  • Ultrasonograms and computed tomograms revealed tumors in both of the adrenal glands, anterior aspect of the inferior vena cava, and the right lobe of the thyroid gland.
  • Markedly elevated levels of urinary normetanephrine and vanillylmandelic acid, and the result of 131I-metaiodobenzylguanidine (131I-MIBG) scintigraphy indicated that both adrenal masses were pheochromocytoma.
  • Bilateral adrenalectomy, paracaval mass removal and total thyroidectomy together with central lymph node dissection were performed.
  • The final pathological diagnosis was bilateral adrenal pheochromocytoma, paraganglioma, papillary thyroid carcinoma and either parathyroid adenoma or hyperplasia.
  • This is the first report of a combination of bilateral pheochromocytoma, abdominal paraganglioma, papillary thyroid carcinoma and either parathyroid adenoma or hyperplasia without hyperparathyroidism.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Carcinoma, Papillary / diagnosis. Multiple Endocrine Neoplasia / diagnosis. Paraganglioma / diagnosis. Pheochromocytoma / diagnosis. Thyroid Neoplasms / diagnosis


23. Rohana AG, Norazmi MK, Norlaila M: A rare case of Von Hippel Lindau disease. Med J Malaysia; 2006 Jun;61(2):254-7
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  • Pheochromocytoma is a rare catecholamine-secreting tumour typically arising within the adrenal medulla.
  • VHL is associated with multi-organ involvement of benign and malignant tumours characterized by the presence of retinal angiomas, hemangioblastomas of the cerebellum and spinal cord, renal cell carcinomas, pheochromocytomas and other cystic lesions in the kidneys, pancreas, and epididymis.
  • This case report describes a 37 years old Chinese gentleman who presented to our institution for further management of bilateral pheochromocytoma and retinal angioblastoma with problems of duodenal ulcer and anaemia.
  • With these features the criteria for the diagnosis of von Hippel Lindau disease was established.
  • [MeSH-major] von Hippel-Lindau Disease / diagnosis
  • [MeSH-minor] Adrenal Gland Neoplasms / diagnosis. Adrenalectomy. Adult. Diagnosis, Differential. Humans. Male. Pheochromocytoma / diagnosis. Tomography, X-Ray Computed

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  • (PMID = 16898326.001).
  • [ISSN] 0300-5283
  • [Journal-full-title] The Medical journal of Malaysia
  • [ISO-abbreviation] Med. J. Malaysia
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Malaysia
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24. Abourazzak S, Atmani S, Arqam LE, Chaouki S, Labib S, Harrandou M, Tizniti S, Bouabdellah Y, Bouharrou A, Hida M: Cerebral ischaemic stroke and bilateral pheochromocytoma. BMJ Case Rep; 2010;2010
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  • [Title] Cerebral ischaemic stroke and bilateral pheochromocytoma.
  • A computed tomography (CT) scan of her brain scan showed a cerebral ischaemic stroke, and paroxysmal arterial hypertension led us to suspect pheochromocytoma.
  • The diagnosis was confirmed by elevated urinary catecholamine and by imaging (abdominal x-ray and abdominal/pelvic CT scan).
  • Bilateral adrenal gland tumours were successfully removed.
  • This report illustrates an uncommon presentation of pheochromocytoma in children and shows the importance of a careful investigation for pheochromocytoma as a cause of hypertension in children with cerebral ischaemic stroke.
  • [MeSH-major] Adrenal Gland Neoplasms / radiography. Pheochromocytoma / radiography. Stroke / radiography
  • [MeSH-minor] Child. Diagnosis, Differential. Echocardiography. Electrocardiography. Female. Humans. Radiography, Abdominal. Tomography, X-Ray Computed


25. El Malki HO, Benkabbou A, Lahmidani S, Mohsine R, Ifrine L, Belkouchi A: [Surgical management of bilateral pheochromocytoma]. Tunis Med; 2009 Jan;87(1):17-21
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  • [Title] [Surgical management of bilateral pheochromocytoma].
  • AIM: the aim of this retrospective study was to assess our experience in surgical management of bilateral pheochromocytoma (BP) and to report diagnosis methods and therapeutic results of a series of 10 patients treated in "surgical clinique A" department.
  • The surgical treatment consisted in a bilateral adrenalectomy in one phase for 5 patients and in two phases for the 5 others (one double laparoscopy).
  • In postoperative phase we assess a death case of sepsis chock, an acute adrenal insufficiency, an acute pancreatitis and a liver metastasis one year after the adrenalectomy.
  • CONCLUSION: Bilateral adrenalectomy is the basic treatment of a BP.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy. Pheochromocytoma / surgery


26. Ohta Y, Sakata S, Miyata E, Iguchi A, Momosaki S, Tsuchihashi T: Case report: Coexistence of pheochromocytoma and bilateral aldosterone-producing adenomas in a 36-year-old woman. J Hum Hypertens; 2010 Aug;24(8):555-7
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  • [Title] Case report: Coexistence of pheochromocytoma and bilateral aldosterone-producing adenomas in a 36-year-old woman.
  • [MeSH-major] Adrenal Cortex Neoplasms / complications. Adrenal Gland Neoplasms / complications. Adrenocortical Adenoma / complications. Aldosterone / secretion. Pheochromocytoma / complications

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  • (PMID = 20410920.001).
  • [ISSN] 1476-5527
  • [Journal-full-title] Journal of human hypertension
  • [ISO-abbreviation] J Hum Hypertens
  • [Language] eng
  • [Publication-type] Case Reports; Letter
  • [Publication-country] England
  • [Chemical-registry-number] 4964P6T9RB / Aldosterone
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27. Iusco D, Sarli L, Di Mauro D, Violi V, Roncoroni L: Endoscopic treatment of bilateral pheochromocytoma in MEN 2A syndrome: case report and review of the literature. G Chir; 2007 Oct;28(10):363-6
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  • [Title] Endoscopic treatment of bilateral pheochromocytoma in MEN 2A syndrome: case report and review of the literature.
  • The benefits of laparoscopic adrenalectomy for single adrenal lesion have been well documented in literature; less experience though has been reported with simultaneous bilateral laparoscopic adrenalectomy.
  • This operation is indicated in case of primary hypercortisolism caused by bilateral adrenocortical hyperfunction, Cushing's disease after failure of pituitary surgery, ectopic adrenocorticotropic hormone (ACTH) production by a tumour inaccessible for surgical intervention, and pheochromocytoma when it occurs bilaterally in case of multiple endocrine neoplasia type 2A and 2B.
  • We report a case of bilateral laparoscopic adrenalectomy in a 33 years old female affected with bilateral pheochromocytoma due to multiple endocrine neoplasia type 2A treated with a bilateral transperitoneal laparoscopic adrenalectomy and disease free after 18 months follow-up.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Laparoscopy. Multiple Endocrine Neoplasia Type 2a / surgery. Pheochromocytoma / surgery


28. Frank-Raue K, Buhr H, Dralle H, Klar E, Senninger N, Weber T, Rondot S, Höppner W, Raue F: Long-term outcome in 46 gene carriers of hereditary medullary thyroid carcinoma after prophylactic thyroidectomy: impact of individual RET genotype. Eur J Endocrinol; 2006 Aug;155(2):229-36
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  • In two patients carrying a 634 mutation, other endocrinopathies (hyperparathyroidism and bilateral pheochromocytoma) manifested during follow-up.

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  • (PMID = 16868135.001).
  • [ISSN] 0804-4643
  • [Journal-full-title] European journal of endocrinology
  • [ISO-abbreviation] Eur. J. Endocrinol.
  • [Language] ENG
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] EC 2.7.10.1 / Proto-Oncogene Proteins c-ret; EC 2.7.10.1 / RET protein, human
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29. Recasens M, Oriola J, Fernández-Real JM, Roig J, Rodríguez-Hermosa JI, Font JA, Galofre P, López-Bermejo A, Ricart W: Asymptomatic bilateral adrenal pheochromocytoma in a patient with a germline V804M mutation in the RET proto-oncogene. Clin Endocrinol (Oxf); 2007 Jul;67(1):29-33
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  • [Title] Asymptomatic bilateral adrenal pheochromocytoma in a patient with a germline V804M mutation in the RET proto-oncogene.
  • A diagnosis of bilateral pheochromocytoma warrants exclusion of hereditary pheochromocytoma.
  • OBJECTIVE: To describe the first case of a bilateral pheochromocytoma associated with V804M mutation in the RET proto-oncogene.
  • PATIENTS: The index case was a 54-year-old man with bilateral adrenal masses discovered during a CT scan performed for other reasons.
  • RESULTS: Investigations revealed elevated urinary metanephrines (32.3 micromol/day), and laparoscopic bilateral adrenalectomy confirmed bilateral pheochromocytomas.
  • CONCLUSIONS: This clinical case suggests that individuals carrying the germline V804M mutation should be screened annually for the presence of pheochromocytoma.
  • [MeSH-major] Adrenal Gland Neoplasms / genetics. Germ-Line Mutation. Pheochromocytoma / genetics. Proto-Oncogene Proteins c-ret / genetics

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  • [CommentIn] Clin Endocrinol (Oxf). 2008 May;68(5):836 [17970769.001]
  • (PMID = 17466010.001).
  • [ISSN] 0300-0664
  • [Journal-full-title] Clinical endocrinology
  • [ISO-abbreviation] Clin. Endocrinol. (Oxf)
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 5001-33-2 / Metanephrine; EC 2.7.10.1 / Proto-Oncogene Proteins c-ret
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30. Opocher G, Schiavi F, Iacobone M, Toniato A, Sattarova S, Erlic Z, Martella M, Mian C, Merante Boschin I, Zambonin L, De Lazzari P, Murgia A, Pelizzo MR, Favia G, Mantero F: Familial nonsyndromic pheochromocytoma. Ann N Y Acad Sci; 2006 Aug;1073:149-55
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  • [Title] Familial nonsyndromic pheochromocytoma.
  • The molecular basis for the familial pheochromocytoma has been largely elucidated and the role of germline mutation of the VHL, RET, SDHB, and SDHD genes has been established.
  • The proband of family 1 is a man who had a bilateral pheochromocytoma at the age of 32 and a local recurrence at the age of 48 years.
  • His brother died of malignant pheochromocytoma and his nephew died suddenly of an undiagnosed pheochromocytoma.
  • The proband of family 2 is a female who had a 5-cm benign adrenal pheochromocytoma at the age of 34 years, while her cousin (maternal branch) had a monolateral pheochromocytoma at the age of 42 years.
  • The proband of family 3 is a female who had a bilateral pheochromocytoma at the age of 66 years.
  • Her sister had a bilateral pheochromocytoma and breast cancer at the age of 54 years.
  • In family 4, the proband was a female who had a bilateral pheochromocytoma at the age of 46 years and a local recurrence a few years later, with liver metastases from the pheochromocytoma.
  • Her brother had a monolateral benign pheochromocytoma.
  • The proband also had a melanoma and bilateral renal cysts.
  • This case revealed a VHL sequence variant IVS2+43 A>G, which was also found in one other unrelated sporadic pheochromocytoma.
  • In family 5, the proband was a female who had a right adrenal pheochromocytoma at the age of 50 years and a breast cancer at 49 years of age.
  • Her mother had had a right adrenal pheochromocytoma at 61 years of age.
  • Although other molecular mechanisms, such as particular variants in untranslated regions or partial gene deletions, cannot be ruled out, we think finding families with nonsyndromic pheochromocytoma without any RET, VHL, SDHB, SDHC, SDHD, or EGLN3 mutation may argue in favor of the presence of other pheochromocytoma susceptibility genes.
  • [MeSH-major] Adrenal Gland Neoplasms / genetics. Pheochromocytoma / genetics

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  • (PMID = 17102081.001).
  • [ISSN] 0077-8923
  • [Journal-full-title] Annals of the New York Academy of Sciences
  • [ISO-abbreviation] Ann. N. Y. Acad. Sci.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] EC 1.3.99.1 / Succinate Dehydrogenase; EC 2.7.10.1 / Proto-Oncogene Proteins c-ret; EC 2.7.10.1 / RET protein, human; EC 6.3.2.19 / VHL protein, human; EC 6.3.2.19 / Von Hippel-Lindau Tumor Suppressor Protein
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31. Misseri R: Adrenal surgery in the pediatric population. Curr Urol Rep; 2007 Jan;8(1):89-94
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  • [Title] Adrenal surgery in the pediatric population.
  • Adrenal tumors in children may be benign or malignant.
  • In addition, both benign and malignant tumors may be hormonally active, leading to hypertension, metabolic crises, and endocrinopathies.
  • Both a metabolic and a radiographic work-up are required before treatment of an adrenal tumor.
  • The primary therapy for most adrenal lesions is surgical, though some are treated medically or require chemotherapy before excision.
  • [MeSH-major] Adrenal Gland Neoplasms / pathology. Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods
  • [MeSH-minor] Adrenal Gland Diseases / mortality. Adrenal Gland Diseases / pathology. Adrenal Gland Diseases / surgery. Adrenal Glands / embryology. Adrenal Glands / physiopathology. Age Factors. Child. Child, Preschool. Female. Follow-Up Studies. Humans. Laparoscopy / methods. Male. Neuroblastoma / mortality. Neuroblastoma / pathology. Neuroblastoma / surgery. Pheochromocytoma / mortality. Pheochromocytoma / pathology. Pheochromocytoma / surgery. Risk Assessment. Survival Analysis. Treatment Outcome

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  • (PMID = 17239322.001).
  • [ISSN] 1534-6285
  • [Journal-full-title] Current urology reports
  • [ISO-abbreviation] Curr Urol Rep
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 39
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32. Bakan M, Kaya G, Cakmakkaya S, Tufanogullari B: Anesthesia management with short acting agents for bilateral pheochromocytoma removal in a 12-year-old boy. Paediatr Anaesth; 2006 Nov;16(11):1184-8
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  • [Title] Anesthesia management with short acting agents for bilateral pheochromocytoma removal in a 12-year-old boy.
  • A 12-year-old boy with bilateral adrenal pheochromocytoma pretreated with furosemide, nifedipine, prazosin, and propranolol underwent surgical removal of the tumors.
  • Following the ligation of the adrenal veins, hemodynamic parameters were stable and neither inotropic support nor corticosteroid replacement was required.
  • We concluded that remifentanil-based anesthesia combined with low-dose desflurane and thoracic epidural analgesia may reduce the need for vasoactive drugs in the anesthesia management of pheochromocytoma.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Anesthesia, General / methods. Anesthetics, Inhalation. Anesthetics, Intravenous. Blood Pressure. Pheochromocytoma / surgery

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  • (PMID = 17040309.001).
  • [ISSN] 1155-5645
  • [Journal-full-title] Paediatric anaesthesia
  • [ISO-abbreviation] Paediatr Anaesth
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] France
  • [Chemical-registry-number] 0 / Adrenergic beta-Antagonists; 0 / Anesthetics, Inhalation; 0 / Anesthetics, Intravenous; 0 / Antihypertensive Agents; 0 / Piperidines; 0 / Propanolamines; 169D1260KM / Nitroprusside; CRS35BZ94Q / desflurane; CYS9AKD70P / Isoflurane; MDY902UXSR / esmolol; P10582JYYK / remifentanil
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33. Arneth B: G691S/S904S polymorphism in the RET protooncogene of a 25-year-old medical student with bilateral pheochromocytoma. Indian J Hum Genet; 2009 Jan;15(1):32-5
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  • [Title] G691S/S904S polymorphism in the RET protooncogene of a 25-year-old medical student with bilateral pheochromocytoma.
  • The case of a 25-year-old medical student with bilateral pheochromocytoma is described.
  • Genetic analysis revealed that the patient is a heterozygote with the following mutations on opposite homologs: G691S (exon 11) and S904S (TCC-TCG, exon 15), suggesting the diagnosis of multiple endocrine neoplasia 2A (MEN2A).
  • A diagnosis of MEN2 would be an indication of thyroidectomy in this patient.

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  • (PMID = 20407648.001).
  • [ISSN] 0971-6866
  • [Journal-full-title] Indian journal of human genetics
  • [ISO-abbreviation] Indian J Hum Genet
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC2846568
  • [Keywords] NOTNLM ; Genetics / multiple endocrine neoplasia / pheochromocytoma
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34. Schreinemakers JM, Zonnenberg BA, Höppener JW, Hes FJ, Rinkes IH, Lips CJ: A patient with bilateral pheochromocytoma as part of a Von Hippel-Lindau (VHL) syndrome type 2C. World J Surg Oncol; 2007;5:112
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  • [Title] A patient with bilateral pheochromocytoma as part of a Von Hippel-Lindau (VHL) syndrome type 2C.
  • It proved to be the first manifestation of bilateral pheochromocytomas.
  • The family history may indicate the diagnosis, but only identification of a germ line mutation in the DNA of a patient will confirm carriership.
  • Magnetic resonance imaging revealed bilateral adrenal pheochromocytoma.
  • She underwent laparoscopic adrenelectomy and a missense mutation (Gly93Ser) in exon 1 of the VHL gene on chromosome 3 (p25 - p26) was shown in the patient, her father and her daughter confirming the diagnosis of VHL.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Adrenal Gland Neoplasms / genetics. Pheochromocytoma / diagnosis. Pheochromocytoma / genetics. Pregnancy Complications, Neoplastic / diagnosis. Pregnancy Outcome. von Hippel-Lindau Disease / genetics
  • [MeSH-minor] Adrenalectomy / methods. Adult. Cesarean Section. Female. Follow-Up Studies. Germ-Line Mutation. Humans. Infant, Newborn. Infant, Premature. Infant, Small for Gestational Age. Magnetic Resonance Imaging. Mutation, Missense. Pregnancy. Pregnancy Trimester, Second. Prenatal Diagnosis / methods. Risk Assessment. Treatment Outcome


35. Bjornsson B, Birgisson G, Oddsdottir M: Laparoscopic adrenalectomies: A nationwide single-surgeon experience. Surg Endosc; 2008 Mar;22(3):622-6
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  • Since then, all procedures for presumed benign lesions of the adrenals have been performed laparoscopically in a single center.
  • The preoperative diagnosis was documented, as well as the pathologic diagnosis, operative details, complications, and length of hospital stay.
  • RESULTS: In 49 operations, 53 adrenal glands were removed from 48 patients (37 women and 11 men).
  • The left adrenal was removed from 29 patients, the right adrenal from 14 patients, and both adrenals from 5 patients.
  • The most common indications and diagnoses included 17 nonsecreting tumors (12 adenomas, 3 hyperplasias, 1 complex adrenal cyst, and 1 hemangioma), 12 aldosteronomas (10 aldosteronomas and 2 nodular hyperplasias), and 10 pheochromocytomas (9 confirmed, 1 adrenal hyperplasia).
  • The mean operative time was 168 min (range, 87-370 min) for unilateral operations and 412 min (range, 345-480 min) for bilateral operations.
  • The mean blood loss was 117 ml (range, 0-650 ml) for unilateral operations and 200 ml (range, 0-350 ml) for bilateral operations.
  • CONCLUSION: The results of laparoscopic adrenalectomies in Iceland for benign lesions of the adrenals are comparable with published results from large referral centers.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Laparoscopy / methods. Laparoscopy / statistics & numerical data. Pheochromocytoma / surgery

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  • (PMID = 18163169.001).
  • [ISSN] 1432-2218
  • [Journal-full-title] Surgical endoscopy
  • [ISO-abbreviation] Surg Endosc
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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36. Raue F, Frank-Raue K: Genotype-phenotype relationship in multiple endocrine neoplasia type 2. Implications for clinical management. Hormones (Athens); 2009 Jan-Mar;8(1):23-8
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  • It has a strong penetrance of medullary thyroid carcinoma (MTC) and can be associated with bilateral pheochromocytoma and primary hyperparathyroidism (MEN2A) within a single patient or family.
  • (1) classical MEN2A, (2) MEN2B, an association of MTC, pheochromocytoma and mucosal neuroma and (3) familial MTC (FMTC), which is associated with a very low incidence of other endocrinopathies.
  • MEN2 provides a unique model for early prevention and cure of cancer and for stratified roles of mutation-based diagnosis of carriers.

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  • (PMID = 19269918.001).
  • [ISSN] 1109-3099
  • [Journal-full-title] Hormones (Athens, Greece)
  • [ISO-abbreviation] Hormones (Athens)
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Greece
  • [Chemical-registry-number] EC 2.7.10.1 / Proto-Oncogene Proteins c-ret; EC 2.7.10.1 / RET protein, human
  • [Number-of-references] 21
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37. Al-Wahhabi B: Parathyroid adenoma and bilateral pheochromocytoma in a patient with neurofibromatosis. Ann Saudi Med; 2005 May-Jun;25(3):255-7
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  • [Title] Parathyroid adenoma and bilateral pheochromocytoma in a patient with neurofibromatosis.
  • [MeSH-major] Adenoma / diagnosis. Adrenal Gland Neoplasms / diagnosis. Neoplasms, Multiple Primary / diagnosis. Neurofibromatosis 1 / diagnosis. Parathyroid Neoplasms / diagnosis. Pheochromocytoma / diagnosis
  • [MeSH-minor] Adrenalectomy. Aged. Diagnosis, Differential. Humans. Male. Multiple Endocrine Neoplasia Type 2a / diagnosis. Multiple Endocrine Neoplasia Type 2a / etiology. Multiple Endocrine Neoplasia Type 2a / genetics


38. Chin EH, Baril DT, Weber KJ, Divino CM: Laparoscopic cortical-sparing adrenalectomy for bilateral pheochromocytoma. Surg Endosc; 2008 Sep;22(9):2075
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  • [Title] Laparoscopic cortical-sparing adrenalectomy for bilateral pheochromocytoma.
  • She underwent a CT scan of the chest which revealed an incidental finding of bilateral adrenal masses.
  • MIBG scan showed positive uptake in the left adrenal gland consistent with pheochromocytoma.
  • T2 weighted MRI showed bilateral adrenal masses, left greater than right.
  • Pathology revealed a 3.5 cm pheochromocytoma.
  • The patient then underwent a right cortical-sparing adrenalectomy to avoid complete adrenal insufficiency and Addisonian crisis.
  • At surgery, a small, well-circumscribed mass of the inferior right adrenal gland was found, and excised in its entirety.
  • Pathology revealed a 1.5 cm pheochromocytoma, and the patient recovered uneventfully.
  • Cortical-sparing adrenalectomy has been reported with success rates of 65-100% in avoiding exogenous steroid dependence.(1,2) Bilateral pheochromocytoma remains the most common indication.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Laparoscopy / methods. Neoplasms, Multiple Primary / surgery. Pheochromocytoma / surgery
  • [MeSH-minor] Adrenal Insufficiency / prevention & control. Adult. Female. Humans. Incidental Findings. Postoperative Complications / prevention & control. Postoperative Hemorrhage / prevention & control


39. Castillo OA, Vitagliano G, Cortes O, Kerkebe M, Pinto I, Arellano L: Bilateral laparoscopic adrenalectomy. J Endourol; 2007 Sep;21(9):1053-8
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  • [Title] Bilateral laparoscopic adrenalectomy.
  • BACKGROUND AND PURPOSE: Laparoscopic adrenalectomy has become the gold standard in the surgical management of adrenal pathology.
  • Bilateral adrenalectomy is indicated in patients with Cushing's disease secondary to macroadenoma or hypophysial hyperplasia in whom medical treatment and transsphenoid surgery have failed.
  • Also, it is the first choice for bilateral benign tumors and metastatic neoplasia.
  • We present our experience with bilateral laparoscopic adrenalectomy, analyzing its indications, feasibility, results, and complications.
  • Of the 221 adrenalectomies, 44 were bilateral.
  • A total of 20 patients underwent bilateral synchronic laparoscopic adrenalectomy (91%); the remaining 2 had two-stage procedures.
  • There were 6 cases of bilateral pheochromocytoma, 6 patients with Cushing's disease, 3 cases of metastasis, 3 congenital adrenal hyperplasias, 2 hyperaldosteronisms, and a single case each of adrenal adenoma and myelolipoma.
  • CONCLUSIONS: Bilateral laparoscopic adrenalectomy is technically feasible and can be performed with minimal bleeding in a reasonable surgical time.

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  • (PMID = 17941786.001).
  • [ISSN] 0892-7790
  • [Journal-full-title] Journal of endourology
  • [ISO-abbreviation] J. Endourol.
  • [Language] ENG
  • [Publication-type] Journal Article
  • [Publication-country] United States
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40. Gockel I, Heintz A, Roth W, Junginger T: Adrenalectomy for bilateral and recurrent pheochromocytoma: increased intraoperative risk? Am Surg; 2006 Mar;72(3):232-7
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  • [Title] Adrenalectomy for bilateral and recurrent pheochromocytoma: increased intraoperative risk?
  • Adrenalectomy for pheochromocytoma is per se associated with a specific intraoperative cardiovascular risk caused by catecholamine secretion during manipulation of the tumor.
  • Bilateral or multiple, and recurrent chromaffine tumors are special subentities with a potentially more intensified and longer surgical preparation.
  • Of the 82 studied interventions between February 1992 and May 2005, 58 were seen to involve primary, unilateral tumors, 17 involved bilateral (1 trilateral) findings, and there were 7 cases of recurrency.
  • The hemodynamic changes related to primary, solitary pheochromocytomas revealed a higher frequency of intraoperative blood pressure crises (37%) compared with the comparative groups (11.8% in bilateral and 0% in recurrent tumors), as well as higher maximum pCO2 values noted.
  • Aside from an appropriate preliminary therapy using an alpha-blocker and the careful surgical preparation of the adrenal gland, the different hemodynamic changes possibly may be related to the presence of smaller tumors in bilateral pheochromocytoma, as well as being based upon the already existent ligature of the draining vein in the event of recurrent procedures.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / adverse effects. Hypertension, Malignant / etiology. Neoplasm Recurrence, Local / surgery. Pheochromocytoma / surgery

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  • (PMID = 16553125.001).
  • [ISSN] 0003-1348
  • [Journal-full-title] The American surgeon
  • [ISO-abbreviation] Am Surg
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Catecholamines
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41. Niccoli-Sire P, Conte-Devolx B: [Multiple endocrine neoplasia type 2]. Ann Endocrinol (Paris); 2007 Oct;68(5):317-24
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  • Three phenotypic variants have been identified: MEN2A associates medullary thyroid carcinoma (MTC) to pheochromocytoma in about 20-50% of cases and to primary hyperparathyroidism in 5-20% of cases; MEN2B associates MTC to pheochromocytoma in 50% of cases, to marphanoid habitus and to mucosal and digestive ganglioneuromatosis whereas in familial isolated medullary thyroid carcinoma (FMTC), the other components of the disease are absent.
  • MTC represent the most frequent circumstance of diagnosis.
  • Pheochromocytoma and HPT may reveal the disease unfrequently and are systematically associated to undiagnosed MTC which is present yet.
  • Analysis of the RET gene allows to confirm the diagnosis of MEN2 by identifying the causal germline mutation.
  • Management of MEN2 patients include thyroidectomy associated to cervical central and bilateral lymph nodes dissection for MTC, unilateral adrenalectomy for unilateral pheochromocytoma or bilateral adrenalectomy when both glands are involved, and selective resection of pathologic parathyroid glands for HPT.
  • [MeSH-minor] Adrenal Gland Neoplasms / genetics. France / epidemiology. Genetic Variation. Humans. Hyperparathyroidism / genetics. Mutation. Pheochromocytoma / genetics. Prevalence. Proto-Oncogene Proteins c-ret / genetics

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  • (PMID = 17626779.001).
  • [ISSN] 0003-4266
  • [Journal-full-title] Annales d'endocrinologie
  • [ISO-abbreviation] Ann. Endocrinol. (Paris)
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] France
  • [Chemical-registry-number] EC 2.7.10.1 / Proto-Oncogene Proteins c-ret; EC 2.7.10.1 / RET protein, human
  • [Number-of-references] 56
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42. Snabboon T, Plengpanich W, Houngngam N, Buranasupkajorn P, Plengvidhya N, Sereepapong W, Sunthornyothin S, Shotelersuk V: Concurrent bilateral pheochromocytoma and thoracic paraganglioma during pregnancy. Endocrine; 2010 Apr;37(2):261-4
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  • [Title] Concurrent bilateral pheochromocytoma and thoracic paraganglioma during pregnancy.
  • It was subsequently found to be caused by bilateral pheochromocytoma.
  • Physicians who care for hypertensive pregnant patients should be aware of this condition as its diagnosis would probably lead to a better outcome.
  • [MeSH-major] Adrenal Gland Neoplasms / complications. Mediastinal Neoplasms / complications. Paraganglioma / complications. Pheochromocytoma / complications. Pregnancy Complications, Neoplastic. von Hippel-Lindau Disease / complications


43. Abbott MA, Nathanson KL, Nightingale S, Maher ER, Greenstein RM: The von Hippel-Lindau (VHL) germline mutation V84L manifests as early-onset bilateral pheochromocytoma. Am J Med Genet A; 2006 Apr 1;140(7):685-90
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The von Hippel-Lindau (VHL) germline mutation V84L manifests as early-onset bilateral pheochromocytoma.
  • The types of tumor that can occur in affected individuals include retinal and central nervous system hemangioblastoma, renal cell carcinoma, pheochromocytoma, and others.
  • [MeSH-major] Adrenal Gland Neoplasms / pathology. Germ-Line Mutation. Pheochromocytoma / pathology. Von Hippel-Lindau Tumor Suppressor Protein / genetics. von Hippel-Lindau Disease / genetics


44. Pugliese R, Boniardi M, Sansonna F, Maggioni D, De Carli S, Costanzi A, Scandroglio I, Ferrari GC, Di Lernia S, Magistro C, Loli P, Grossrubatscher E: Outcomes of laparoscopic adrenalectomy. Clinical experience with 68 patients. Surg Oncol; 2008 Jul;17(1):49-57
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  • Pathology, size and bilateral site of lesions were considered.
  • Between December 1998 and May 2007 in our institution a total of 68 patients of mean age of 53 years underwent unilateral (n=57) or bilateral (n=11) LA.
  • Adrenal masses averaged 5.4cm in size (range 1.2-13cm) and 56.7g in weight (range 10-265) including 71 benign and 8 malignant lesions.
  • A total of 79 adrenal glands were resected, 44 right sided and 35 left sided.
  • Removal was complete in 77 cases and partial (sparing adrenalectomy) in 1 patient affected by bilateral pheochomocytoma.
  • Three left adrenalectomies for pheochromocytoma were robot-assisted.
  • Estimated mean blood loss for each LA was 95+/-30ml and it was greater for bilateral LA.
  • Patients affected by hormone secreting or bilateral lesions, by unilateral or bilateral pheochromocytoma and by bilateral Cushing's disease were transferred to the endocrinological ward so that their overall hospital stay was prolonged to 9+/-2.8 days on average (range 7-17).
  • While long-term results after LA for cortical carcinomas were poor and LA is not recommended in such cases, long-term results after LA for adrenal metastases were encouraging.
  • [MeSH-major] Adrenal Gland Diseases / surgery. Adrenalectomy / methods. Laparoscopy / methods

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  • (PMID = 17949973.001).
  • [ISSN] 0960-7404
  • [Journal-full-title] Surgical oncology
  • [ISO-abbreviation] Surg Oncol
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] Netherlands
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45. Wattanachanya L, Bunworasate U, Plengpanich W, Houngngam N, Buranasupkajorn P, Sunthornyothin S, Shotelersuk V, Snabboon T: Bilateral pheochromocytoma during the postpartum period. Arch Gynecol Obstet; 2009 Dec;280(6):1055-8
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  • [Title] Bilateral pheochromocytoma during the postpartum period.
  • BACKGROUND: Pheochromocytoma manifesting during pregnancy is uncommon but it is responsible for a high maternal and fetal mortality rate, especially when unrecognized.
  • Most cases of pheochromocytoma are sporadic but they can be part of hereditary autosomal dominant syndromes.
  • CASE: We describe a case of bilateral pheochromocytoma in a term-pregnant patient with a previous history of medullary thyroid carcinoma (MTC).
  • Her genetic study revealed a heterozygous mutation, c.1900T>C, in the RET proto-oncogene which confirmed the diagnosis of multiple endocrine neoplasia type 2A (MEN2A).
  • [MeSH-major] Adrenal Gland Neoplasms / pathology. Multiple Endocrine Neoplasia Type 2a / pathology. Pheochromocytoma / pathology

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  • (PMID = 19340440.001).
  • [ISSN] 1432-0711
  • [Journal-full-title] Archives of gynecology and obstetrics
  • [ISO-abbreviation] Arch. Gynecol. Obstet.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / DNA, Neoplasm; EC 2.7.10.1 / Proto-Oncogene Proteins c-ret
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46. Raue F, Frank-Raue K: Multiple endocrine neoplasia type 2: 2007 update. Horm Res; 2007;68 Suppl 5:101-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • It is clinically characterised by the presence of medullary thyroid carcinoma (MTC), bilateral pheochromocytoma and primary hyperparathyroidism (MEN-2A) within a single patient.
  • (1) classic MEN-2A, (2) MEN-2B, an association of MTC, pheochromocytoma and mucosal neuroma and (3) familial MTC (FMTC), which is associated with a low incidence of other endocrinopathies.
  • CONCLUSIONS: MEN-2 provides a unique model for early prevention and cure of cancer and for stratified roles of mutation-based diagnosis of carriers.

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  • [Copyright] Copyright (c) 2007 S. Karger AG, Basel.
  • (PMID = 18174721.001).
  • [ISSN] 1423-0046
  • [Journal-full-title] Hormone research
  • [ISO-abbreviation] Horm. Res.
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Switzerland
  • [Chemical-registry-number] EC 2.7.10.1 / Proto-Oncogene Proteins c-ret; EC 2.7.10.1 / RET protein, human
  • [Number-of-references] 19
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47. Tong AL, Zeng ZP, Yang D, Li HZ, Li M: [Clinical analysis of 25 patients with bilateral pheochromocytomas]. Zhonghua Nei Ke Za Zhi; 2005 Oct;44(10):751-4
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  • [Title] [Clinical analysis of 25 patients with bilateral pheochromocytomas].
  • OBJECTIVE: Bilateral pheochromocytomas are rare diseases.
  • The purpose of this retrospective study was to elucidate the clinical characteristics of patients with bilateral pheochromocytomas.
  • METHODS: We analyze the clinical data of 25 patients with bilateral pheochromocytomas who were treated at Peking Union Medical College Hospital between 1952 and 2004.
  • RESULTS: The average age at diagnosis was (32 +/- 14) years.
  • In the 25 patients, bilateral pheochromocytomas were discovered at the same time in 88%, and multiple tumors existed in at least one side of the adrenal gland in 56%.
  • CONCLUSIONS: Hereditary syndromes should be screened when pheochromocytoma is bilateral, and the patients' family members also should be screened for hereditary syndromes.
  • During operation for bilateral adrenal pheochromocytoma, multiple tumors in one side should be considered.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Pheochromocytoma / diagnosis

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  • (PMID = 16255883.001).
  • [ISSN] 0578-1426
  • [Journal-full-title] Zhonghua nei ke za zhi
  • [ISO-abbreviation] Zhonghua Nei Ke Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] China
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48. Mirallié E, Cariou B, Kraeber-Bodéré F: [Bilateral pheochromocytoma. Genetics and treatment]. Ann Chir; 2005 Apr;130(4):273-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Bilateral pheochromocytoma. Genetics and treatment].
  • [MeSH-major] Adrenal Gland Neoplasms / genetics. Adrenal Gland Neoplasms / therapy. Pheochromocytoma / genetics. Pheochromocytoma / therapy


49. Tong AL, Zeng ZP, Zhou YR, Yuan T, Cao CX, Zhang J, Li M: Bilateral pheochromocytoma as first presentation of von Hippel-Lindau disease in a Chinese family. Chin Med Sci J; 2009 Dec;24(4):197-201
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  • [Title] Bilateral pheochromocytoma as first presentation of von Hippel-Lindau disease in a Chinese family.
  • OBJECTIVE: To investigate the clinical and genetic features of a Chinese family with von Hippel-Lindau (VHL) disease revealed by bilateral pheochromocytoma.
  • METHODS: The proband and other members in a Chinese family with familial pheochromocytoma were clinically evaluated and followed up.
  • RESULTS: The first presentation in the proband, his mother, and his sister was bilateral pheochromocytoma, and the missense mutation of 695G-A (Arg161Gln) in exon 3 of VHL gene was detected in the three patients.
  • CONCLUSION: VHL disease should be suspected in some patients with familial pheochromocytoma, and VHL gene screening helps to achieve early diagnosis of the disease.


50. Harzallah F, Barlier A, Feki M, Enjalbert A, Slimane H: Unusual presentation of multiple endocrine neoplasia type 2A in a patient with the C634R mutation of the RET-protooncogene. Ann Endocrinol (Paris); 2008 Dec;69(6):523-5
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  • She had a history of bilateral urinary stone recurrence, managed successfully on two occasions.
  • Laboratory evaluation and imaging findings confirmed the diagnosis of primary hyperparathyroidism.
  • Histological examination confirmed the diagnosis of parathyroid adenoma and revealed a multifocal and bilateral medullary carcinoma.
  • These findings led to the diagnosis of multiple endocrine neoplasia.
  • Imaging findings were compatible with the diagnosis of bilateral pheochromocytoma.
  • [MeSH-major] Adenoma / diagnosis. Adenoma / genetics. Carcinoma, Medullary / diagnosis. Carcinoma, Medullary / genetics. Multiple Endocrine Neoplasia Type 2a / diagnosis. Multiple Endocrine Neoplasia Type 2a / genetics. Pheochromocytoma / diagnosis. Pheochromocytoma / genetics. Proto-Oncogene Proteins c-ret / genetics
  • [MeSH-minor] Adult. DNA / genetics. Diabetes Mellitus / etiology. Female. Humans. Hyperglycemia / diagnosis. Hyperglycemia / etiology. Neck Dissection. Parathyroid Neoplasms / diagnosis. Parathyroid Neoplasms / pathology. Thyroid Neoplasms / diagnosis. Thyroid Neoplasms / pathology. Thyroidectomy


51. Marini F, Falchetti A, Del Monte F, Carbonell Sala S, Tognarini I, Luzi E, Brandi ML: Multiple endocrine neoplasia type 2. Orphanet J Rare Dis; 2006;1:45
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Multiple Endocrine Neoplasia Type 2 (MEN2) is a rare hereditary complex disorder characterized by the presence of medullary thyroid carcinoma (MTC), unilateral or bilateral pheochromocytoma (PHEO) and other hyperplasia and/or neoplasia of different endocrine tissues within a single patient.
  • The combination of clinical and genetic investigations, together with the improved understanding of the molecular and clinical genetics of the syndrome, helps the diagnosis and treatment of patients.
  • [MeSH-minor] Carcinoma, Medullary / pathology. Genetic Predisposition to Disease. Genetic Testing. Humans. Mutation. Pheochromocytoma / pathology. Proto-Oncogene Proteins c-ret / genetics. Thyroid Neoplasms / pathology

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  • (PMID = 17105651.001).
  • [ISSN] 1750-1172
  • [Journal-full-title] Orphanet journal of rare diseases
  • [ISO-abbreviation] Orphanet J Rare Dis
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] England
  • [Chemical-registry-number] EC 2.7.10.1 / Proto-Oncogene Proteins c-ret
  • [Number-of-references] 30
  • [Other-IDs] NLM/ PMC1654141
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52. Masunaga K, Inadome A, Sugiyama Y, Maeda Y, Satoji Y, Takahashi W, Yoshida M, Ueda S, Ikeda K, Takano Y, Yatsuda J: [Bilateral pheochromocytomas with von Hippel-Lindau disease: a case report]. Nihon Hinyokika Gakkai Zasshi; 2007 Nov;98(7):843-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Bilateral pheochromocytomas with von Hippel-Lindau disease: a case report].
  • A case of bilateral pheochromocytomas with von Hippel Lindau disease (VHL) is reported.
  • Computed tomography revealed bilateral adrenal tumors and noradrenalin levels in serum and urine were elevated.
  • Suspecting bilateral pheochromocytoma, he was reffered to our hospital for further examination and treatment.
  • 131I-MIBG scintigraphy showed accumulation in bilateral adrenal glands.
  • Bilateral adrenalectomies and left nephrectomy were performed because tumor thrombus extended into the left renal vein, and pathological diagnosis was pheochromocytoma.
  • We diagnosed the patient as VHL disease because of the existence of cerebellar and spinal hemangioblastomas, bilateral pheochromocytomas, missense mutation and his family history.
  • This is the eleventh case of bilateral pheochromocytomas with VHL disease reported in Japanese literatures.
  • [MeSH-major] Adrenal Gland Neoplasms / complications. Adrenal Gland Neoplasms / diagnosis. Pheochromocytoma / complications. von Hippel-Lindau Disease / complications. von Hippel-Lindau Disease / diagnosis

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  • (PMID = 18062217.001).
  • [ISSN] 0021-5287
  • [Journal-full-title] Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology
  • [ISO-abbreviation] Nippon Hinyokika Gakkai Zasshi
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Japan
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53. Batra YK, Rajeev S, Menon P, Saxena AK, Rao KL: Anesthetic management of bilateral pheochromocytoma with paradoxical hypotension in a 11-year-old child. Paediatr Anaesth; 2007 Mar;17(3):295-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Anesthetic management of bilateral pheochromocytoma with paradoxical hypotension in a 11-year-old child.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Anesthesia, General / methods. Pheochromocytoma / surgery


54. Altinova AE, Toruner F, Cimen AR, Karakoc A, Atasever T, Yetkin I, Ayvaz G, Cakir N, Arslan M: The association of neurofibromatosis, bilateral pheochromocytoma and primary hyperparathyroidism. Exp Clin Endocrinol Diabetes; 2007 Jul;115(7):468-70
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The association of neurofibromatosis, bilateral pheochromocytoma and primary hyperparathyroidism.
  • Neurofibromatosis (NF) is a hereditary disease and carries increased risk of both benign and malignant tumor development.
  • Pheochromocytoma or hyperparathyroidism have been reported to be associated with NF type 1 (NF1).
  • However, the coexistance of pheochromocytoma and parathyroid adenoma in a patient with NF1 is very rare.
  • We report a case of a 37-year-old male with NF1, bilateral pheochromocytoma and parathyroid adenoma.
  • [MeSH-major] Adrenal Gland Neoplasms / complications. Hyperparathyroidism, Primary / complications. Neurofibromatoses / complications. Pheochromocytoma / complications


55. Gupta NP, Kumar R, Tandon S: Simultaneous laparoscopic adrenalectomy for pheochromocytoma and dismembered pyeloplasty for uretero-pelvic junction obstruction. J Laparoendosc Adv Surg Tech A; 2005 Aug;15(4):405-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Simultaneous laparoscopic adrenalectomy for pheochromocytoma and dismembered pyeloplasty for uretero-pelvic junction obstruction.
  • Laparoscopic adrenalectomy for pheochromocytoma and laparoscopic dismembered pyeloplasty are both technically difficult procedures.
  • We describe the case of a 61-year-old female patient who presented with a right adrenal pheochromocytoma and bilateral pelvi-ureteric junction obstruction with renal failure who underwent a successful simultaneous transperitoneal laparoscopic adrenalectomy and pyeloplasty.
  • [MeSH-major] Adrenal Gland Neoplasms / surgery. Adrenalectomy / methods. Laparoscopy. Pheochromocytoma / surgery. Ureteral Obstruction / surgery

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  • (PMID = 16108746.001).
  • [ISSN] 1092-6429
  • [Journal-full-title] Journal of laparoendoscopic & advanced surgical techniques. Part A
  • [ISO-abbreviation] J Laparoendosc Adv Surg Tech A
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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