期刊论文详细信息
Sao Paulo Medical Journal
Multicentric pheochromocytoma and involvement of the inferior vena cava
Antonio Marmo Lucon1  Renato Falci Júnior1  José Nery Praxedes1  Marcel Cerqueira Cesar Machado1  Luis Balthazar Saldanha1  Marcelo Marcondes Machado1  Sami Arap1 
[1] ,Universidade de São Paulo Faculty of Medicine Hospital das ClínicasSão Paulo,Brazil
关键词: Pheochromocytoma;    Retroperitoneal neoplasia;    Adrenal tumor;    Adrenal surgery;    Vena cava;    Feocromocitoma;    Neoplasia retroperitoneal;    Tumor adrenal;    Veia cava;   
DOI  :  10.1590/S1516-31802001000200010
来源: SciELO
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【 摘 要 】

CONTEXT: Extension of pheochromocytomas to the inferior vena cava is rare. Multicentric tumors are rare as well, being present in up to 10% of cases. Surgery is the treatment of choice because of the long-term survival free of disease. DESIGN: Case report. CASE REPORT: We report on a case of right adrenal pheochromocytoma with extension to the supra-diaphragmatic vena cava, which underwent surgical excision through thoracophrenic laparotomy without the need for cardiopulmonary bypass. In a 6-year follow-up, another pheochromocytoma was found in the infra-renal Zuckerkandl's organ. Complete surgical excision of the tumor was performed by a median laparotomy and complete retroperitoneal dissection. In both cases, the total removal of the pheochromocytoma has been guaranteed by having margins free of tumor and a normal post-operative level of catecholamines. The pathological study revealed a malignant pheochromocytoma with margins free of neoplasia in both specimens.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License

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