Tsuboi Ichiro, Ogawa Kohei, Kadota Kyuichi, Kishi Takashi, Kawabata Yasunari, Wada Koichiro
Department of Urology, Shimane University Faculty of Medicine, Japan.
Department of Pathology, Shimane University Faculty of Medicine, Japan.
Urol Case Rep. 2023 Apr 5;48:102398. doi: 10.1016/j.eucr.2023.102398. eCollection 2023 May.
A 78-year-old woman was referred to our institution for evaluation and treatment of a mass on her right adrenal gland measuring 12 × 11 × 10 cm. Twenty-four-hour urine analysis revealed a total metanephrine level over 3 times the upper limit of normal. Scintigraphy using I-metaiodobenzylguanidine was positive. The mass was resected en bloc by laparotomy after a laparoscopic attempt was unsuccessful. Histopathologic examination revealed a pheochromocytoma of the right adrenal gland, weighing 576 g. The Grading System for Adrenal Pheochromocytoma and Paraganglioma score was 6, and the histology of the tumor was a moderately differentiated type.
一名78岁女性因右侧肾上腺有一个大小为12×11×10 cm的肿块前来我院评估和治疗。24小时尿液分析显示总间甲肾上腺素水平超过正常上限的3倍。使用I-间碘苄胍的闪烁扫描呈阳性。在腹腔镜手术尝试失败后，通过剖腹手术将肿块整块切除。组织病理学检查显示右侧肾上腺嗜铬细胞瘤，重576 g。肾上腺嗜铬细胞瘤和副神经节瘤分级系统评分为6分，肿瘤组织学为中度分化型。
