Some Vagaries of Pheochromocytoma
Authors: MILTON A. BELL
Journal: Annals of Internal Medicine (1962)

Article1 September 1962Some Vagaries of PheochromocytomaFour Illustrative CasesMILTON A. BELL, M.D., WILLIAM S. BLAKEMORE, M.D., EDWARD ROSE, M.D., F.A.C.P.MILTON A. BELL, M.D.Search for more papers by this author, WILLIAM S. BLAKEMORE, M.D.Search for more papers by this author, EDWARD ROSE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-57-3-406 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptVariations in the clinical picture of functioning chromaffin tumors occasionally present diagnostic pitfalls. This report describes 4 unusual cases of pheochromocytoma illustrating some vagaries of this disease. They include the occurrence of paroxysmal episodes for more than 26 years, dominating symptoms of peripheral vasoconstriction, severe sweating for 12 years as the chief complaint, and the recurrence of typical crises associated with a presumably metastatic lesion in the humerus, 7½ years after the removal of a pheochromocytoma of the adrenal.CASE REPORTSCASE 1M. B., a 53-year-old white male physician, first noted symptoms at age 28 when he was a...References1. BLAKEMOREMURPHYPENDERGRASSGREENING WSJJHPR: Carbon dioxide as a contrast medium in roentgenography. J. A. M. A. 167: 310, 1958. CrossrefMedlineGoogle Scholar2. MAYOCKROSE RLE: Insensitivity to epinephrine in a patient with a functioning tumor of the adrenal medulla. Amer. J. Med. Sci. 213: 324, 1947. CrossrefMedlineGoogle Scholar3. BAUERBELT JE: Paroxysmal hypertension with concomitant swelling of the thyroid due to pheochromocytoma of the right adrenal gland. Cure by surgical removal of the pheochromocytoma. J. Clin. Endocr. 7: 30, 1947. CrossrefGoogle Scholar4. DUNCANSEMANSHOWARD LEJHJE: Adrenal medullary tumor (pheochromocytoma) and diabetes mellitus. Disappearance of diabetes after removal of the tumor. Ann. Intern. Med. 20: 815, 1944. LinkGoogle Scholar5. DOUST BC: Anxiety as a manifestation of pheochromocytoma: report of two cases. Ann. Intern. Med. 102: 811, 1958. Google Scholar6. APSTERHALSTEADALVINGTALSOCASE NSWCASPJTJ: Alterations of cerebral functions in pheochromocytoma. Neurology 1: 283, 1951. CrossrefMedlineGoogle Scholar7. GLUSHIENMANSUYLITTMAN ASMNIJ: Pheochromocytoma: its relationship to the neurocutaneous syndromes. Amer. J. Med. 14: 318, 1953. CrossrefMedlineGoogle Scholar8. TAYLORSTOELTING CVK: Acute hypertension during anesthesia—the unsuspected pheochromocytoma. J. A. M. A. 173: 753, 1960. CrossrefMedlineGoogle Scholar9. RICHMONDFRAZERMILLAR JSCDR: Paroxysmal hypotension due to an adrenaline-secreting pheochromocytoma. Lancet 2: 904, 1961. CrossrefMedlineGoogle Scholar10. BROWNBOROWSKY RBM: Further observations on intestinal lesions associated with pheochromocytomas. A case of malignant pheochromocytoma in pregnancy. Ann. Surg. 151: 683, 1960. CrossrefMedlineGoogle Scholar11. CARPENTERKUNIN AAAS: Pheochromocytoma with acute tubular necrosis: report of a case. New Engl. J. Med. 265: 986, 1961. CrossrefMedlineGoogle Scholar12. FORSELLMALM JP: Recurrent pheochromocytoma. Acta Med. Scand. 163: 55, 1959. CrossrefMedlineGoogle Scholar13. PALMIERIIKKOSLUFT GDR: Malignant pheochromocytoma. Acta Endocr. 36: 549, 1961. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, PennsylvaniaFrom the Department of Surgery and the Endocrine Section of the Medical Clinic, Hospital of the University of Pennsylvania, and the School of Medicine, University of Pennsylvania.Requests for reprints should be addressed to Milton C. Bell, M.D., 5136 Wayne Avenue, Philadelphia 44, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDie Strahlentherapie der bösartigen Tumoren des peripheren NervensystemsPhaeochromocytoma and acute cardiovascular death (with special reference to myocardial infarction).PHÆOCHROMOCYTOMA AND MYOCARDIAL INFARCTIONAmino Acid Metabolism and Tumors of the Neural CrestPheochromocytoma, neurofibromatosis and thyroid carcinomaThe hypertensive patientPresent status of the pathology of the adrenal gland in hypertension 1 September 1962Volume 57, Issue 3Page: 406-411KeywordsAnestheticsCatecholaminesHospital medicineHumerusHypertensionLesionsNecrosisPheochromocytomaSurgeryVasoconstriction Issue Published: 1 September 1962 PDF downloadLoading ...