[Adrenal incidentaloma associated to elevated urinary normethanephrine in a patient with high blood pressure].

Abstract

OBJECTIVES:

To report one case of adrenal incidentaloma and to review the sensitivity and specificity of urine methanephrines in the diagnosis of pheochromocytoma.

METHODS:

We report the case of a patient with high blood pressure and a left adrenal incidentaloma. Surgical excision of the mass was indicated after elevated urine methanephrine.

RESULTS:

Pathologic study of the nodule established the diagnosis of cortical adenoma.

CONCLUSIONS:

The elevation of urine normethanephrine is a non-specific parameter for the diagnosis of pheochromocytoma.

• Authors: Carmen Maciá Bobes, Aránzazu Ronzón Fernández, Isabel Alonso Troncoso, Gloria Castaño Fernéndez, Patricia Botas Cervero, Cristina García Delgado
• Journal: Archivos espanoles de urologia (Arch Esp Urol) Vol. 57 Issue 6 Pg. 643-5 ( 2004) ISSN: 0004-0614 [Print] Spain
• Vernacular Title: Incidentaloma suprarrenal asociado a normetanefrina urinaria elevada en un paciente hipertenso.
• PMID: 15382441 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Metanephrine

Topics

• Adenoma (diagnosis, surgery, urine)
• Adrenal Cortex Neoplasms (diagnosis, surgery, urine)
• Adult
• Diagnosis, Differential
• Humans
• Hypertension (etiology, therapy, urine)
• Male
• Metanephrine (urine)
• Pheochromocytoma (diagnosis, urine)
• Predictive Value of Tests
• Sensitivity and Specificity
• Treatment Outcome