Woman 55 yo with blood pressure rise crisis for 5 years, max 20/10cm Hg, medical treatment cannot
control in stable. Ultrasound of abdomen detected one round mass at
left adrenal area, ..size of 8cm well bordered, cystic with
septation ( US 1, US 2).
MSCT with CE= CT1: sagittal
plan this mass at adrenal fossa deplaced left kidney. CT2: normal vascular
supply to kidney . CT3: crossed section of.this mass inhomogeneous in contrast enhancement.
Blood test shows very high catecolamine of 24 hours in
urine and metanephrine in plasma is 1521.53/mL
(normal <90 ng/mL).
,
Diagnosis of this case is pheochromocytoma which based on clinical, ultrasound, CT and blood test.
Operation removed the tumor (see macro 1,2).
POST OP BLOOD PRESSURE IS STABLE.
Reference:
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