Incidental adrenal pheochromocytoma – a report on three cases
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
© 2013 MSA Cooray, Uditha Bulugahapitiya, ISH Liyanage, Anuruddha M Abeygunasekera, KCK Wasalaarachchi, Gayaman Dissanayake, DD Ranasinghe, published by Sri Lanka College of Endocrinologists
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