Dr. Saurabh Boralkar


Pheochromocytomas rare neuroendocrine tumors that arise from chromaffin-cells in the adrenal medulla. Pheochromocytomas have an estimated
prevalence of up to 5% of adults presenting with adrenal incidentalomas.
Reported is a case of a 54 Year old patient admitted with, Excessive sweating and giddiness for 20 days,Lower urinary tract symptoms for 15 days,
LAB INVESTIGATIONS showed: NorepinephrineLevel:2690 picogram/ml, Metanephrine level:1276 picogram/ml, 24 hour VMA
level:16.8mg/24 hours, Sr. Cortisol level:0.4 Microgram/DeciLitre .On examination Blood pressure was raised. Rest examination was normal.
RBS-234mg/dl. USG(A+P) -consistent with Pheocromocytoma .CT scan revealed ? Pheocromocytoma. PET Scan showed left supra-renal mass
compatible with Pheocromocytoma. Preoperatively the patient was given Alpha and Beta blockers for 7 days Intraop the patient was on
phenoxibenzamine drip.Laparoscopic left adrenalectomy was performed. Postoperatively;B.P and RBS was normal.


Pheocromocytoma, Neuroendocrine Tumor, Metanephrines, Norepinephrine

Full Text:



Ricardo Rodrigues Marques, Carlos Tavares Bello, Ana Alves Rafael, Luís Viana Fernandes; Paraganglioma or pheochromocytoma? A peculiar diagnosis, Journal of Surgical Case Reports, Volume 2018, Issue 4, 1 April 2018, rjy060, https://doi.org/10.1093/jscr/rjy060

Lenders JW, DuhQY, Eisenhofer G, Gimenez-Roquolo AP, GrebeSK, MuradMH, et al. Pheochromocytoma and paraganglioma: an Endocrine Society Clinical Practice GuidelineJ Clin Endocrinol Metab 2016;99:1915

Guerrero MA, SchreinemakersJM, Vriens MR, SuhI, HwangJ, ShenWT, et al. Clinical spectrum of pheochromocytoma J Am Coll Surg 2009;209:727

Gimenez-RoqueploAP, Caumont-Prim A, Houzard C Imaging work-up for screening of paraganglioma and pheochromocytoma inSDHxmutation carriers: a multicenter prospective study from the PGL.EVA Investigators. J Clin Endocrinol Metab 2013;98:E162–73



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