Multiple sequential pulmonary resections for metastatic pheochromocytoma with long-term survival.

Pheochromocytoma is not rare; indeed, it was discovered in 0.1 percent of consecutive autopsies and in 0.64 percent of a large group of patients screened for hypertension. A patient who underwent excision of a pheochromocytoma at age 7 years is presented. Seven years later, bilateral metastatic pulmonary nodules were excised. Fourteen years later, two metastatic pulmonary nodules were again excised. The patient is doing well 1 year after discharge. Surgical resection of multiple metastatic pheochromocytoma nodules is recommended.