Kojima Y, Nakamura M, Koide T, Sonoda T, Haruna Y, Mishima M, Kuzuya T
Department of Urology, Osaka University Medical School.
Hinyokika Kiyo. 1989 Sep;35(9):1555-9.
A 62-year-old man with a 2-year history of hypertension was referred for evaluation of severe back pain, but his blood pressure was normal during his hospital stay. Plain radiography and excretory urography demonstrated central and eggshell-like calcification in the left suprarenal area. Computed tomographic scan confirmed similar shapes for the left adrenal calcifications. Laboratory examination revealed that the urinary normetanephrine was elevated. Left adrenal venography showed that the mass was in the middle to lower portion of the left adrenal gland. The most likely diagnosis was, calcified pheochromocytoma. The left adrenal tumor was removed surgically through a thoracolumbar incision on September 19, 1985. The blood pressure rose to 186/102 mmHg at the time of tumor manipulation. The tumor was a markedly hard mass, which was 3.5 x 3.5 x 3.0 cm and weighed 20 g. The histopathologic diagnosis was calcified pheochromocytoma. The patient remained symptomless after the operation.
一名有2年高血压病史的62岁男性因严重背痛前来接受评估，但住院期间其血压正常。X线平片和排泄性尿路造影显示左肾上腺区有中央及蛋壳样钙化。计算机断层扫描证实左肾上腺钙化呈类似形态。实验室检查显示尿去甲肾上腺素升高。左肾上腺静脉造影显示肿块位于左肾上腺中下部。最可能的诊断是钙化性嗜铬细胞瘤。1985年9月19日经胸腰段切口手术切除左肾上腺肿瘤。肿瘤操作时血压升至186/102 mmHg。肿瘤为明显坚硬的肿块，大小为3.5×3.5×3.0 cm，重20 g。组织病理学诊断为钙化性嗜铬细胞瘤。术后患者无症状。
