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Incidental adrenal pheochromocytoma – a report on three cases

Authors:

MSA Cooray ,

Colombo South Teaching Hospital, LK
About MSA
Senior Registrar in Endocrinology
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Uditha Bulugahapitiya,

Colombo South Teaching Hospital, LK
About Uditha
Consultant Endocrinologist
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ISH Liyanage,

Colombo South Teaching Hospital, LK
About ISH
Senior Registrar in Histopathology
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Anuruddha M Abeygunasekera,

Colombo South Teaching Hospital, LK
About Anuruddha M
Consultant Urologist
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KCK Wasalaarachchi,

Colombo South Teaching Hospital, LK
About KCK
Consultant Pathologist
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Gayaman Dissanayake,

Colombo South Teaching Hospital, LK
About Gayaman
Registrar Radiology
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DD Ranasinghe

Colombo South Teaching Hospital, LK
About DD
Consultant Radiologist
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Abstract

Incidentally detected adrenal tumours pose a diagnostic challenge to the physician. Although hormonal evaluation is prioritized, it is essential to have a thorough radiological assessment of the tumour properties prior to planning the definitive management.

The aim is to report on our experience of 3 patients with an Incidental Adrenal Lesion (IAL) who were found to be hormonally ‘normal’ but suspicious features on CT imaging lead to surgery, after which histology revealed features of pheochromocytoma with no evidence of metastasis. Peri-operatively all three experienced haemodynamic instability.

The discussion in this article mainly emphasizes the importance of CT imaging of adrenals. It also focuses on the histopathological difficulties in predicting the tumour behavior especially in the absence of metastatic deposits.

DOI: http://dx.doi.org/10.4038/sjdem.v3i1.5500

Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2013; 3: 29-34

How to Cite: Cooray, M. et al., (2013). Incidental adrenal pheochromocytoma – a report on three cases. Sri Lanka Journal of Diabetes Endocrinology and Metabolism. 3(1), pp.29–34. DOI: http://doi.org/10.4038/sjdem.v3i1.5500
Published on 07 May 2013.
Peer Reviewed

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