Phaeochromocytoma in a 20-year-old Nigerian, resolving the dilemma of benignity or malignancy

  • Fred O. Ugwumba | fredugwumba@gmail.com Urology unit, Department of Surgery, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria.
  • Okechukwu C. Okafor Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria.
  • Agharighom David Okoh Urology unit, Department of Surgery, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria.
  • Obinna Virginus Ajuzieogu Department of Anaesthesia, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria.

Abstract

Pheochromocytomas are rare tumors that present a diagnostic challenge in developing countries. They occur in the adrenal gland and as paragangliomas along the sympathetic chain. Clinical features are usually those of sustained or paroxysmal hypertension and complications thereof. Surgical extirpation remains the mainstay of treatment and is greatly facilitated by accurate pre-operative tumor localization. Pre-operative medical management with antihypertensive medication has led to significant reductions in peri-operative mortality. Determination of malignancy is difficult in the absence of obvious metastases. We present a case of left adrenal phechromocytoma that was stabilized. Adrenalectomy had a good outcome and the patient has so far been followed up for a year.

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Author Biographies

Okechukwu C. Okafor, Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State
Senior lecturer
Agharighom David Okoh, Urology unit, Department of Surgery, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State
Senior Registrar
Obinna Virginus Ajuzieogu, Department of Anaesthesia, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State
Lecturer
Published
2012-01-18
Section
Case Reports
Keywords:
phaeochromocytoma, Nigerian, benign, malignant.
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How to Cite
Ugwumba, F., Okafor, O., Okoh, A., & Ajuzieogu, O. (2012). Phaeochromocytoma in a 20-year-old Nigerian, resolving the dilemma of benignity or malignancy. Clinics and Practice, 2(1), e15. https://doi.org/10.4081/cp.2012.e15