• Can J Urol · Oct 2019

    Case Reports

    Pheochromocytoma arising in the settingof adrenal-renal fusion.

    • Spyridon P Basourakos, Lucas Dean, James Van Gurp, Victor Reuter, and Paul Russo.
    • Department of Urology, New York Presbyterian Hospital, Weill Cornell Medical Center, New York, New York, USA.
    • Can J Urol. 2019 Oct 1; 26 (5): 9952-9955.

    AbstractAdrenal-renal fusion is an anomaly misclassified as a renal tumor due to the absence of pathognomonic radiographic features. Herein, we report a case of a 61-year-old male who underwent a right radical nephrectomy for a presumed renal malignancy. Pathologic evaluation demonstrated a pheochromocytoma in the context of adrenal-renal fusion. Neoplastic transformation of fused adrenal tissue is rare but not unheard of and is typically adrenal cortical in origin. To our knowledge, this is the first description of a pheochromocytoma originating from an adrenal-renal fusion. The clinical presentation did not raise a high index of suspicion for the ultimate diagnosis rendered.

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