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The local spread of pheochromocytoma after adrenalectomy with a rupture of the tumor capsule at the time of the surgery

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Pogorzelski R., Toutounchi S., Fiszer P., Krajewska E., Łoń I., Zapała Ł., Skórski M.
Open Medicine
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2014
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vol. 10
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issue 1
EN
Introduction: We present a case of a 29-year-old patient treated due to fully symptomatic pheochromocytoma of the right adrenal gland. Case presentation: Patient was operated on and an open right-sided adrenalectomy was performed. At the time of the surgery, a rupture of the tumor capsule occurred. Five years post-operatively, a recurrence of the symptoms of chromaffin-cell tumor was noted. After the exact localization of the multiple recurrences, the patient was reoperated on. Conclusion: The case of pheochromocytoma is presented due to the possibility of chromaffin-cell seeding into the peritoneum, with no signs of distal metastases so far.
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Adrenal Tumors - Diagnostics and the Factual Situation

84%
Krajewska E., Toutounchi S., Fiszer P., Cieśla W., Pogorzelski R., Bednarczuk T., Cieszanowski A., Łoń I., Skórski M.
Polish Journal of Surgery
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2012
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vol. 84
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issue 4
208-213
EN
The study presented three cases of patients diagnosed with adrenal tumors subject to surgical intervention during the past 6 months in our Department. The patients presented with radiological diagnostic difficulties, as to the character and location of the primary tumor.The aim of the study was to demonstrate differences between radiological examination results and the factual situation observed during the adrenalectomy. In all the presented cases patients' were subject to laparoscopic intervention. In two cases conversion to open surgery was necessary. The histopathological results of the surgically removed samples were as follows: leiomyoma, myoperycytoma and pheochromocytoma. In selected cases imaging examinations might be of limited value, especially when determining the character and location of the primary lesion of the adrenal gland.
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