Adrenal Adenoma Anarchy: A Case of an ACTH-Secreting Pheochromocytoma
Joint Authors
Kravchenko, Maria
Lee, Michelle N.
Wan, WingYee
Chormanski, Dianna C.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-27
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Pheochromocytomas are rare neuroendocrine tumors that arise from sympathetic adrenomedullary chromaffin tissue.
Depending on the amount of catecholamines they secrete, they have variable presentations.
There have been reported cases of adrenocorticotrophic (ACTH) secreting pheochromocytomas that present with severe Cushing syndrome.
Here, we present a pheochromocytoma with adrenocorticotrophic hormone (ACTH) cosecretion, which due to its rarity and variable presentation, may be a diagnostic challenge.
Presentation.
A 64-year-old woman with history of colon cancer presented with new-onset diabetes, worsening hot flashes, and hypertension.
On CT imaging she had an enlarging right adrenal nodule (1.7 cm) with 60 Hounsfield units of attenuation and no PET avidity.
Biochemical evaluation showed elevated urinary and plasma metanephrines, elevated plasma cortisol levels despite dexamethasone suppression, elevated late-night salivary cortisol, and high-normal adrenocorticotrophic hormone.
The patient underwent laproscopic right adrenalectomy, and pathology confirmed pheochromocytoma.
Her lab abnormalities and symptoms of hot flashes and hypertension improved postoperatively.
Conclusion.
This case demonstrates an unusual ACTH-secreting pheochromocytoma with subtle presentation and highlights the importance of obtaining a complete biochemical evaluation of incidental adrenal adenomas.
American Psychological Association (APA)
Lee, Michelle N.& Wan, WingYee& Chormanski, Dianna C.& Kravchenko, Maria. 2020. Adrenal Adenoma Anarchy: A Case of an ACTH-Secreting Pheochromocytoma. Case Reports in Endocrinology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147033
Modern Language Association (MLA)
Lee, Michelle N.…[et al.]. Adrenal Adenoma Anarchy: A Case of an ACTH-Secreting Pheochromocytoma. Case Reports in Endocrinology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1147033
American Medical Association (AMA)
Lee, Michelle N.& Wan, WingYee& Chormanski, Dianna C.& Kravchenko, Maria. Adrenal Adenoma Anarchy: A Case of an ACTH-Secreting Pheochromocytoma. Case Reports in Endocrinology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147033
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147033