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Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1812
Abdul-Razak M. R. 1, Yeoh T. M. 1, Rajasingam V. 2, Ng K. L. 1
1 Department of Surgery, Faculty of Medicine, University of Malaysia, Kuala Lumpur, Malaysia;
2 Department of Surgery, Assunta Hospital Petaling Jaya, Malaysia
Phaeochromocytomas are rare catecholamine-secreting neuroendocrine tumours. Asymptomatic patients are even rarer and they are a considerable diagnostic challenge. Surgical management is the treatment of choice. Therefore, the onus is on the clinician to ascertain that phaeochromocytomas are identified prior to surgery as the implications can be hazardous otherwise. The worst-case scenario would be that of dealing with an acute catecholamine crisis on the OT table in an unprepared patient with an unsuspecting surgical and anaesthetic team. We describe an atypical case of adrenal tumour which tested negative pre-operatively for phaeochromocytoma but which subsequently turned out to be a malignant phaeochromocytoma.