von Dehn B J, Nelson R W, Feldman E C, Griffey S M
Veterinary Medical Teaching Hospital, Davis, CA, USA.
J Am Vet Med Assoc. 1995 Aug 1;207(3):322-4.
Pheochromocytoma was diagnosed in 4 dogs with pituitary-dependent hyperadrenocorticism and 2 dogs with hyperadrenocorticism caused by adrenocortical tumor. All dogs were examined initially because of clinical signs associated with hyperadrenocorticism. Pheochromocytoma was suspected in 2 dogs with pituitary-dependent hyperadrenocorticism that had ultrasonographic evidence of an adrenal gland mass, and in 1 dog suspected to have hyperadrenocorticism associated with an adrenocortical tumor after complications (systemic hypertension, cardiac arrhythmias) developed during induction of anesthesia. Pheochromocytoma was an unexpected finding at necropsy in the remaining 3 dogs. Two dogs collapsed suddenly and died before diagnostic tests could be performed; the other dog died during anesthesia for cobalt teletherapy of a pituitary macroadenoma. Hypertension, most notable during digital manipulation of the affected adrenal gland, developed during anesthesia and surgery in 3 dogs that underwent exploratory celiotomy.
4只患有垂体依赖性肾上腺皮质功能亢进的犬和2只患有肾上腺皮质肿瘤引起的肾上腺皮质功能亢进的犬被诊断出患有嗜铬细胞瘤。所有犬最初因与肾上腺皮质功能亢进相关的临床症状而接受检查。2只患有垂体依赖性肾上腺皮质功能亢进且超声检查有肾上腺肿块证据的犬以及1只在麻醉诱导期间出现并发症(全身性高血压、心律失常)后怀疑患有与肾上腺皮质肿瘤相关的肾上腺皮质功能亢进的犬被怀疑患有嗜铬细胞瘤。嗜铬细胞瘤在其余3只犬的尸检中是一个意外发现。2只犬在进行诊断性检查之前突然倒地死亡;另一只犬在垂体大腺瘤钴远距离治疗的麻醉过程中死亡。3只接受剖腹探查术的犬在麻醉和手术期间出现高血压,在对受影响的肾上腺进行手法操作时最为明显。