What is the most likely diagnosis?
- 41 year-old male with headaches, palpitations and diaphoresis
Unenhanced CT of Abdomen
- Caval leiomyosarcoma
- Wilms tumor
- Cirrhosis
- Pheochromocytoma
- Carcinoid tumor
Additional Image - Contrast-enhanced CT of abdomen
Additional Images
Contrast-enhanced CT of abdomen
Answer:
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4. Pheochromocytoma
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More (Click Discussion Tab)
Pheochromocytoma
General Considerations
- Rare, catecholamine-secreting, neuroendocrine tumor usually found in medulla of the adrenal gland originating in the chromaffin cells
- Extra-adrenal tumors called paraganglioneuromas
- Most often produces epinephrine and norepinephrine (mostly) which is unregulated by any feedback mechanism
- Sometimes dopamine is secreted
- About 10 % are malignant