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KMID : 0371320020630040345
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Journal of the Korean Surgical Society
2002 Volume.63 No. 4 p.345 ~ p.349
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Nonfunctioning Huge Malignant Pheochromocytoma with Liver Metastasis
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Kim Han-Joon
Lee Kwong-Soo
Lee Kyeong-Geun
Choi Dong-Ho
Kwon Oh-Jung
Jung Pa-Jong
Park Moon-Hyang
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Abstract
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A 27-year-old woman with a 4-month history of right upper quadrant dull pain and normal blood pressure was admitted in May 2001. Abdominal ultrasonography and abdominal computed tomography revealed a huge retroperitoneal mass with hepatic
nodules.
Histologic diagnosis was paraganglioma based on gun biopsy. Hormonal study for pheochromocytoma was negative. I-metaiodobenzylguanidine (MIBG) scintigraphy and angiography were performed for operation. The tumor was removed en bloc with part of
the
pancreas, spleen and hepatic mass. Pathologic examination with immunohistochemical staining revealed a malignant pheochromocytoma growing exophytically from the left adrenal and metastasizing to the liver. The postoperative course has been
uneventful
and no recurrence has been noted over a 2-months follow-up period.
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KEYWORD
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