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Korean J Thorac Cardiovasc Surg. 2013 Feb;46(1):88-91. doi: 10.5090/kjtcs.2013.46.1.88. Epub 2013 Feb 6.

Functional mediastinal pheochromocytoma.

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1
Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine, Korea.

Abstract

A 36-year-old man visited Yeungnam University Hospital with a sudden onset of palpitation, headache, and was found to be hypertensive. Chest radiography showed a 6 cm sized mass lesion on the posterior mediastinum. A biochemical study showed elevated levels of catecholamines. An I-123 metaiodobenzylguanidine scan revealed a hot uptake lesion on the posterior mediastinum. The patient was prepared for surgery with α and β blocking agents. Two months later, we removed the tumor successfully. A histological study proved that the resected tumor was mediastinal pheochromocytoma. Functional mediastinal pheochromocytomas are rare. Therefore, we reported the case with a literature review.

KEYWORDS:

Hypertension; Mediastinum; Pheochromocytoma; Surgery

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