Abstract

Very few cases of pheochromocytoma in functional accessory adrenal glands have been documented in literature. We present a twenty-four year old Nigerian female who presented with pheochromocytoma. Investigations revealed a suprarenal mass, which was diagnosed as an accessory gland adrenal tumour at surgery. This shows that accessory adrenal glands can be a basis for development of pheochromocytoma.

Highlights

  • Pheochromocytomas are catecholamine producing tumours of the chromaffin cells of the adrenal medulla

  • We present a twenty-four year old Nigerian female who presented with pheochromocytoma

  • We present a rare case of a patient with pheochromocytoma of an accessory adrenal gland

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Summary

Introduction

Pheochromocytomas are catecholamine producing tumours of the chromaffin cells of the adrenal medulla. Few cases of pheochromocytoma in accessory adrenal glands have been reported in literature. We present a rare case of a patient with pheochromocytoma of an accessory adrenal gland. There was an associated history of photophobia, tinnitus, palpitation and diaphoresis She admitted having heat intolerance and insomnia. A separate cresenteric shaped mass was identified at the apex of the cavity this was removed She was transferred to the Intensive care unit for monitoring. The histopathology report of the two resected specimens revealed a cresenteric shaped normal intact adrenal gland grossly and on histology. The surrounding sustentacular network of cells stained positively for the S-100 protein These findings are suggestive of a pheochromocytoma in an accessory adrenal gland

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Soffer LJ
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