A Case of Neurofibromatosis with Bilateral Pheochromocytoma.
- Author:
Hong Seung KIM
;
Young Gu SHIN
;
Il Hoi KIM
;
Yun Mee KIM
;
Mee Yeon CHO
- Publication Type:Case Report
- Keywords:
Neurofibromatosis;
Bilateral pheochromocytoma
- MeSH:
Carcinoid Tumor;
Cerebral Hemorrhage;
Chromaffin Cells;
Hemorrhage;
Hypertension;
Mass Screening;
Myocardial Infarction;
Neuroendocrine Tumors;
Neurofibromatoses*;
Parathyroid Neoplasms;
Pheochromocytoma*;
Prognosis;
Sympathetic Nervous System;
Thyroid Neoplasms
- From:Journal of Korean Society of Endocrinology
1997;12(3):478-484
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pheochromocytoma is originated from chromaffin cell of sympathetic nervous system and associated with other disease, such as neurofibromatosis, duodenal carcinoid, medullary thyroid cancer and parathyroid adenoma. Especially, pheochromocytoma is developed more than 50% in neurofibromatosis associated with hypertension. In such cases, several clinical features documented as more frequent bilateral phochromocytoma, more associated with other neuroendocrine tumors and thus more poor prognosis. We can observe the sustained hypertension despite of surgical resection of tumors in pheochromocytoma cases. One of the possible reason of post operative sustained hypertension is the pheochromocytoma originated from minor organ of Zukerkandl that was not resected during operation. Untreated or delayed treated cases with pheochromocytoma were often expired by complication of hypertension such as cerebrovascular hemorrhage, myocardial infarction, etc. Thus, in neurofibromatosis with hypertension, screening of pheochromocytorna is very important for the early detection of tumor and more favorable prognosis. Recently, We experienced a case of neurofibromatosis associated with bilateral pheochromocy-toma expired by cerebral hemorrhage during operation, so we report the case with literature review.
