Adrenal pheochromocytoma (with probable underlying MEN IIa

Case contributed by Dr Amr Farouk

Presentation

History of thyroid cancer underwent thyroidectomy 1 year ago presenting with hypertension. The abdominal ultrasound suggested an adrenal mass. CT was done for further evaluation.

Patient Data

Age: 20 years
Gender: Female

Right adrenal well-defined ovoid mass is seen showing heterogeneous enhancement with areas of hypodense attenuation of breaking down within. 

Case Discussion

The patient was operated and pathologically proven pheochromocytoma.

In the setting of the cancer thyroid and pheochromocytoma, MEN IIa is most likely.

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