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KMID : 0367419750160100034
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Journal of Korean Pediatric Society
1975 Volume.16 No. 10 p.34 ~ p.38
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A Case of Pheochromocytoma
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吳世鈗/Oh, Sai Youn
尹炳海/孫槿贊/李謹洙/李喆相/羅燾憲/金基廷/Yoon, Byung Hae/Sohn, Keun Chan/Lee, Keun Soo/Lee, Chul Sang/Rha, Do Hun/Kim, Kie Chung
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Abstract
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Pheochromocytoma is a rare tumor arising from chromaffin cells of the sympatho-adrenal system which produce large amount of epinephrine and nor-epinephrine. Recently a 8-year old male patient was admitted to our Pediatric Department of National Medical Center who had suffered from sweating, polydipsia and palpitation for 3 years and hypertension was found 3 months ago, which persisted till this admission.
In urine examinations, proteinuria was sustained but not glycosuria. Urinary excretion of catecholamine was markedly increased and VMA was also increased in 24 hours urine but not so-marked as catecholamine. Regitine test was positive but histamine test and BMR were not performed. Retroperitoneal pneumography showed adult-thumb tip sized soft tissue mass locating at just above the upper pole of right kidney, which was highly suggestive of rich vascular adrenal tumor by abdominal aortography.
Right adrenalectomy was performed by surgical department. Blood pressure was stablized after 36 hours-operation and tumor was confirmed as pheochromocytoma by histopathological study. Two weeks after operation, he was discharged with good general condition and we report this case with review of literatures.
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