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CASE REPORT
Year : 2013  |  Volume : 9  |  Issue : 7  |  Page : 183-185

Surgical resection of multiple liver metastasis of functional malignant pheochromocytoma: A case report and literature review


1 Department of Urology Surgery, Cancer Hospital of Wuhan University and Hubei Cancer Hospital Wuhan 430079, China
2 Department of Hepatobiliary and Pancreatic Surgery, Cancer Hospital of Wuhan University and Hubei Cancer Hospital Wuhan 430079, China
3 Department of Pathology, Cancer Hospital of Wuhan University and Hubei Cancer Hospital Wuhan 430079, China

Correspondence Address:
Dongde Wu
Wu, 116, South Road, Zhuodaoquan, Wuhan 430079
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.122522

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Functional malignant pheochromocytoma is a rare tumor. Also, liver metastatic pheochromocytoma is deemed to be incurable because of its poor prognosis. Surgical debulking and removal of primary and metastases tumors, as well as radiosurgical or surgical treatment are recommended for patients. We treated a patient with multiple liver metastasis of functional malignant pheochromocytoma 4 years after the adrenal primary lesion was resected. The liver metastases were successfully removed by surgical resection. During the operation, the blood pressure increased quickly when the tumor was held between the fingers, reached the highest (201/110 mmHg), and then quickly declined to normal when the pressure was relieved. The patient is alive for more than 5 years after the operation. Thus, we believe that functional liver metastases of malignant pheochromocytoma may be curable by surgical resection with careful monitoring of anesthesia and blood pressure. Every effort should be taken to avoid direct stimulation of the tumor in the operation.


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