Pheochromocytoma in a patient with end-stage renal disease
Pheochromocytoma is a rare tumor. To our knowledge only 15 cases have been reported in patients with end-stage renal disease (ESRD). We describe a 46-year-old woman with ESRD and a history of paroxysmal and difficult-to-control hypertension. During anesthesia for a surgical procedure, the patient ex...
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| Veröffentlicht in: | Mayo Clinic proceedings 2001-09, Vol.76 (9), p.953-957 |
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| creator | GODFREY, John A RICKMAN, Otis B WILLIAMS, Amy W THOMPSON, Geoffrey B YOUNG, William F |
| description | Pheochromocytoma is a rare tumor. To our knowledge only 15 cases have been reported in patients with end-stage renal disease (ESRD). We describe a 46-year-old woman with ESRD and a history of paroxysmal and difficult-to-control hypertension. During anesthesia for a surgical procedure, the patient experienced blood pressure lability with systolic blood pressures ranging from 76 to 360 mm Hg. Serum catecholamine concentrations were 2,698 pg/ mL (reference value, |
| doi_str_mv | 10.1016/S0025-6196(11)62118-6 |
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To our knowledge only 15 cases have been reported in patients with end-stage renal disease (ESRD). We describe a 46-year-old woman with ESRD and a history of paroxysmal and difficult-to-control hypertension. During anesthesia for a surgical procedure, the patient experienced blood pressure lability with systolic blood pressures ranging from 76 to 360 mm Hg. Serum catecholamine concentrations were 2,698 pg/ mL (reference value, <750 pg/mL) for norepinephrine, 33 pg/mL (<110 pg/mL) for epinephrine, and 55 pg/mL (<30 pg/mL) for dopamine. The concentrations of plasma metanephrines were 6.84 nmol/L (<0.50 nmol/L) for metanephrine and 14.64 nmol/L (<0.90 nmol/L) for normetanephrine. Abdominal computed tomography showed a right-sided, 4-cm mass posterior to the infrahepatic inferior vena cava. Following blood pressure control with alpha- and beta-adrenergic blockade, the mass was removed. Pathologic examination demonstrated the mass was a pheochromocytoma. The maximum postoperative systolic blood pressure was 160 mm Hg. Postoperative plasma normetanephrine concentration was 2.80 nmol/L, and metanephrine was obscured by interfering substances. This case report and literature review emphasizes the difficulty in diagnosing pheochromocytomas in patients with ESRD despite the myriad of available diagnostic tests.</description><identifier>ISSN: 0025-6196</identifier><identifier>EISSN: 1942-5546</identifier><identifier>DOI: 10.1016/S0025-6196(11)62118-6</identifier><identifier>PMID: 11560309</identifier><identifier>CODEN: MACPAJ</identifier><language>eng</language><publisher>Rochester, MN: Mayo Medical Ventures</publisher><subject>Biological and medical sciences ; Blood Chemical Analysis ; Endocrinopathies ; Female ; Follow-Up Studies ; General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes ; Humans ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - diagnosis ; Kidney Failure, Chronic - therapy ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Nephropathies. Renovascular diseases. Renal failure ; Pheochromocytoma - complications ; Pheochromocytoma - diagnosis ; Pheochromocytoma - surgery ; Renal Dialysis ; Renal failure ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Mayo Clinic proceedings, 2001-09, Vol.76 (9), p.953-957</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c314t-555d8e8082d7921eeb6f99c3f88678e88dccdf360d0a5e3f812433930b58c6793</citedby><cites>FETCH-LOGICAL-c314t-555d8e8082d7921eeb6f99c3f88678e88dccdf360d0a5e3f812433930b58c6793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,64387</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14075187$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11560309$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GODFREY, John A</creatorcontrib><creatorcontrib>RICKMAN, Otis B</creatorcontrib><creatorcontrib>WILLIAMS, Amy W</creatorcontrib><creatorcontrib>THOMPSON, Geoffrey B</creatorcontrib><creatorcontrib>YOUNG, William F</creatorcontrib><title>Pheochromocytoma in a patient with end-stage renal disease</title><title>Mayo Clinic proceedings</title><addtitle>Mayo Clin Proc</addtitle><description>Pheochromocytoma is a rare tumor. To our knowledge only 15 cases have been reported in patients with end-stage renal disease (ESRD). We describe a 46-year-old woman with ESRD and a history of paroxysmal and difficult-to-control hypertension. During anesthesia for a surgical procedure, the patient experienced blood pressure lability with systolic blood pressures ranging from 76 to 360 mm Hg. Serum catecholamine concentrations were 2,698 pg/ mL (reference value, <750 pg/mL) for norepinephrine, 33 pg/mL (<110 pg/mL) for epinephrine, and 55 pg/mL (<30 pg/mL) for dopamine. The concentrations of plasma metanephrines were 6.84 nmol/L (<0.50 nmol/L) for metanephrine and 14.64 nmol/L (<0.90 nmol/L) for normetanephrine. Abdominal computed tomography showed a right-sided, 4-cm mass posterior to the infrahepatic inferior vena cava. Following blood pressure control with alpha- and beta-adrenergic blockade, the mass was removed. Pathologic examination demonstrated the mass was a pheochromocytoma. The maximum postoperative systolic blood pressure was 160 mm Hg. Postoperative plasma normetanephrine concentration was 2.80 nmol/L, and metanephrine was obscured by interfering substances. This case report and literature review emphasizes the difficulty in diagnosing pheochromocytomas in patients with ESRD despite the myriad of available diagnostic tests.</description><subject>Biological and medical sciences</subject><subject>Blood Chemical Analysis</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - diagnosis</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>Pheochromocytoma - complications</subject><subject>Pheochromocytoma - diagnosis</subject><subject>Pheochromocytoma - surgery</subject><subject>Renal Dialysis</subject><subject>Renal failure</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0025-6196</issn><issn>1942-5546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkNtKAzEQhoMotlYfQdkbRS9WM5vNyTspnqCgoF6HNJm1K3uoyRbp27uti70amPn-meEj5BToNVAQN2-UZjwVoMUlwJXIAFQq9sgYdJ6lnOdin4z_kRE5ivGLUiq1zg_JCIALyqgek9vXBbZuEdq6deuurW1SNolNlrYrsemSn7JbJNj4NHb2E5OAja0SX0a0EY_JQWGriCdDnZCPh_v36VM6e3l8nt7NUscg7_pfuFeoqMq81BkgzkWhtWOFUkL2A-Wd8wUT1FPLsW9DljOmGZ1z5YTUbEIu_vYuQ_u9wtiZuowOq8o22K6ikQBSsIz1IP8DXWhjDFiYZShrG9YGqNlIM1tpZmPEAJitNCP63NlwYDWv0e9Sg6UeOB8AG52timAbV8Ydl1PJQUn2C-gpc1Y</recordid><startdate>20010901</startdate><enddate>20010901</enddate><creator>GODFREY, John A</creator><creator>RICKMAN, Otis B</creator><creator>WILLIAMS, Amy W</creator><creator>THOMPSON, Geoffrey B</creator><creator>YOUNG, William F</creator><general>Mayo Medical Ventures</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010901</creationdate><title>Pheochromocytoma in a patient with end-stage renal disease</title><author>GODFREY, John A ; RICKMAN, Otis B ; WILLIAMS, Amy W ; THOMPSON, Geoffrey B ; YOUNG, William F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-555d8e8082d7921eeb6f99c3f88678e88dccdf360d0a5e3f812433930b58c6793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Biological and medical sciences</topic><topic>Blood Chemical Analysis</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes</topic><topic>Humans</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - diagnosis</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephropathies. Renovascular diseases. Renal failure</topic><topic>Pheochromocytoma - complications</topic><topic>Pheochromocytoma - diagnosis</topic><topic>Pheochromocytoma - surgery</topic><topic>Renal Dialysis</topic><topic>Renal failure</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GODFREY, John A</creatorcontrib><creatorcontrib>RICKMAN, Otis B</creatorcontrib><creatorcontrib>WILLIAMS, Amy W</creatorcontrib><creatorcontrib>THOMPSON, Geoffrey B</creatorcontrib><creatorcontrib>YOUNG, William F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Mayo Clinic proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GODFREY, John A</au><au>RICKMAN, Otis B</au><au>WILLIAMS, Amy W</au><au>THOMPSON, Geoffrey B</au><au>YOUNG, William F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pheochromocytoma in a patient with end-stage renal disease</atitle><jtitle>Mayo Clinic proceedings</jtitle><addtitle>Mayo Clin Proc</addtitle><date>2001-09-01</date><risdate>2001</risdate><volume>76</volume><issue>9</issue><spage>953</spage><epage>957</epage><pages>953-957</pages><issn>0025-6196</issn><eissn>1942-5546</eissn><coden>MACPAJ</coden><abstract>Pheochromocytoma is a rare tumor. To our knowledge only 15 cases have been reported in patients with end-stage renal disease (ESRD). We describe a 46-year-old woman with ESRD and a history of paroxysmal and difficult-to-control hypertension. During anesthesia for a surgical procedure, the patient experienced blood pressure lability with systolic blood pressures ranging from 76 to 360 mm Hg. Serum catecholamine concentrations were 2,698 pg/ mL (reference value, <750 pg/mL) for norepinephrine, 33 pg/mL (<110 pg/mL) for epinephrine, and 55 pg/mL (<30 pg/mL) for dopamine. The concentrations of plasma metanephrines were 6.84 nmol/L (<0.50 nmol/L) for metanephrine and 14.64 nmol/L (<0.90 nmol/L) for normetanephrine. Abdominal computed tomography showed a right-sided, 4-cm mass posterior to the infrahepatic inferior vena cava. Following blood pressure control with alpha- and beta-adrenergic blockade, the mass was removed. Pathologic examination demonstrated the mass was a pheochromocytoma. The maximum postoperative systolic blood pressure was 160 mm Hg. Postoperative plasma normetanephrine concentration was 2.80 nmol/L, and metanephrine was obscured by interfering substances. This case report and literature review emphasizes the difficulty in diagnosing pheochromocytomas in patients with ESRD despite the myriad of available diagnostic tests.</abstract><cop>Rochester, MN</cop><pub>Mayo Medical Ventures</pub><pmid>11560309</pmid><doi>10.1016/S0025-6196(11)62118-6</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Biological and medical sciences Blood Chemical Analysis Endocrinopathies Female Follow-Up Studies General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes Humans Kidney Failure, Chronic - complications Kidney Failure, Chronic - diagnosis Kidney Failure, Chronic - therapy Medical sciences Middle Aged Nephrology. Urinary tract diseases Nephropathies. Renovascular diseases. Renal failure Pheochromocytoma - complications Pheochromocytoma - diagnosis Pheochromocytoma - surgery Renal Dialysis Renal failure Tomography, X-Ray Computed Treatment Outcome |
| title | Pheochromocytoma in a patient with end-stage renal disease |
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