雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Pheochromocytoma in a patient on hemodialysis for 30 years Tomoyuki Kaneko 1 , Yukio Yamada 1 , Kazuhiro Takai. 1 Keyword: 褐色細胞腫 , 血液透析 , 副腎腫瘍 pp.835-837
Published Date 2003/9/20
DOI https://doi.org/10.11477/mf.1413100970
  • Abstract
  • Look Inside

 A 62-year-old male,who had been on regular hemodialysis for the past 30 years,was referred for a left adrenal mass. He often suffered from paroxysmal hypertension with palpitation and headache for the past 3 years. Plasma adrenaline,noradrenaline and dopamine were significantly elevated. Computed tomography(CT)revealed a 4-cm round mass in the left adrenal gland and131I-MIBG scintiscan showed an increased radionuclide uptake in the left adrenal region. Under the diagnosis of pheochromocytoma following 2-week administration ofα-adrenergic blocking agent,left adrenalectomy was successfully performed. Histological examination confirmed adrenal pheochromocytoma. Pheochromocytoma in end-stage renal disease patients(ESRD)is extremely rare and difficult to be diagnosed. It is important to hit upon the disease when you encounter the ESRD patients with suggestive clinical features. Accurate diagnosis and sufficient control of hemodynamic status allow us safe treatment of pheochromocytoma even in ESRD patients.


Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

関連文献

もっと見る

文献を共有