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Evaluation of an adrenal mass in a patient with progressive prostate cancer reveals pheochromocytoma
Author(s) -
ALIKHAN MIR A,
WILLIAMS ROBERT,
UDAYA KUMAR,
SHAEFER ROBERT F,
VISWAMITRA SANJAYA C,
KOHLI MANISH
Publication year - 2006
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2006.01405.x
Subject(s) - medicine , prostate cancer , malignancy , pheochromocytoma , adrenalectomy , adrenal gland , incidentaloma , prostate , biopsy , cancer , metastasis , radiology , urology , pathology
Adrenal masses in cancer patients pose diagnostic problems. We report the case of a 59 years old male with a history of prostate cancer who presented to us with serially rising prostate specific antigen. On imaging studies he had bone lesions and in addition had a 1.7 cm left adrenal mass. Since metastasis to the adrenal gland has rarely been reported in prostate cancer, and since the radiological criteria in our case favored malignancy, we proceeded with hormonal evaluation and fine needle aspiration biopsy of the adrenal mass which proved it to be pheochromocytoma. This was followed by an uneventful adrenalectomy.