Robotic-Assisted Bilateral Cortical Sparing Adrenalectomy in a Case of Bilateral Familial Pheochromocytoma: A Case Report and Review of Literature

Saloni Chheda *

Fortis Hospital Mulund, Mulund-Goregoan Link Road, Nahur West, Industrial Area, Mumbai-400078, Maharashtra, India.

Apoorva Pawar

Fortis Hospital Mulund, Mulund-Goregoan Link Road, Nahur West, Industrial Area, Mumbai-400078, Maharashtra, India.

Saurabh Ramesh Patil

Fortis Hospital Mulund, Mulund-Goregoan Link Road, Nahur West, Industrial Area, Mumbai-400078, Maharashtra, India.

Arun Behl

Fortis Hospital Mulund, Mulund-Goregoan Link Road, Nahur West, Industrial Area, Mumbai-400078, Maharashtra, India.

P. S. Lamba

Fortis Hospital Mulund, Mulund-Goregoan Link Road, Nahur West, Industrial Area, Mumbai-400078, Maharashtra, India.

Bipin Daxini

Fortis Hospital Mulund, Mulund-Goregoan Link Road, Nahur West, Industrial Area, Mumbai-400078, Maharashtra, India.

*Author to whom correspondence should be addressed.


Abstract

Although bilateral pheochromocytomas are frequently encountered in familial cases, a cortical-sparing approach outweighs the need for total adrenalectomy and its continuing repercussions of lifelong steroid dependency. Hereby highlighting a case of boy with bilateral pheochromocytomas managed with bilateral cortical sparing adrenalectomy. Multi-disciplinary approach and a minimal invasive technique aided the management and delayed the need for life-long steroid supplementation.

Keywords: Familial pheochromocytoma, bilateral pheochromocytoma, bilateral adrenalectomy, cortical sparing adrenalectomy


How to Cite

Chheda , Saloni, Apoorva Pawar, Saurabh Ramesh Patil, Arun Behl, P. S. Lamba, and Bipin Daxini. 2023. “Robotic-Assisted Bilateral Cortical Sparing Adrenalectomy in a Case of Bilateral Familial Pheochromocytoma: A Case Report and Review of Literature”. Asian Journal of Case Reports in Surgery 6 (2):492-97. https://www.journalajcrs.com/index.php/AJCRS/article/view/459.

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References

Stiru O, Dragan A, Adamache C, Dragulescu P, Stiru C, Tulin A, et al. Abdominal paraaortic paraganglioma: Management of intraoperative hemodynamic emergencies during elective resection procedures (a case presentation). Experimental and Therapeutic Medicine. 2021;21(5). doi:10.3892/etm.2021.9975

Martins R, Bugalho MJ. Paragangliomas/pheochromocytomas: Clinically oriented genetic testing. International Journal of Endocrinology. 2014; 2014:1–14. doi:10.1155/2014/794187

Bausch B, Wellner U, Bausch D, Schiavi F, Barontini M, Sanso G, et al. Long-term prognosis of patients with pediatric pheochromocytoma. Endocrine-Related Cancer. 2013;21(1):17–25. doi:10.1530/erc-13-0415

Ludwig AD, Feig DI, Brandt ML, Hicks MJ, Fitch ME, Cass DL. Recent advances in the diagnosis and treatment of pheochromocytoma in children. The American Journal of Surgery. 2007;194(6):792–7. doi:10.1016/j.amjsurg.2007.08.028

Sutton MGStJ, Sheps SG, Lie JT. Prevalence of clinically unsuspected pheochromocytoma. review of a 50-year autopsy series. Journal of Urology. 1982;127(2):396–7. doi:10.1016/s0022-5347(17)53807-0.

Eisenhofer G, Lenders JW, Siegert G, Bornstein SR, Friberg P, Milosevic D, et al. Plasma methoxytyramine: A novel biomarker of metastatic pheochromocytoma and paraganglioma in relation to established risk factors of tumour size, location and SDHB mutation status. European Journal of Cancer. 2012 Jul;48(11):1739-49.

Nölting S, Ullrich M, Pietzsch J, Ziegler CG, Eisenhofer G, Grossman A, et al. Current Management of Pheochromocytoma/Paraganglioma: A Guide for the Practicing Clinician in the Era of Precision Medicine. Cancers (Basel). 2019 Oct 8;11(10):1505.

Cerqueira A, Seco T, Costa A, Tavares M, Cotter J. Pheochromocytoma and Paraganglioma: A Review of Diagnosis, Management and Treatment of Rare Causes of Hypertension. Cureus. 2020 May 5.

Neumann HPH, Reincke M, Bender BU, Elsner R, Janetschek G. Preserved Adrenocortical Function After Laparoscopic Bilateral Adrenal Sparing Surgery for Hereditary Pheochromocytoma1. The Journal of Clinical Endocrinology & Metabolism. 1999 Aug;84(8):2608-10.

Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma. N Engl J Med. 1992 Oct 1;327(14):1033.

Paul M, Boaz R, Ramakant P, Ebenazer A, Pai R, Rajaratnam S, et al. Role of cortical sparing adrenalectomy and novel variant of mutation in patient with von Hippel-Lindau disease. Indian J Endocr Metab. 2011; 15(8):402.

Castinetti F, Taieb D, Henry JF, Walz M, Guerin C, Brue T, et al. Management of endocrine disease: Outcome of adrenal sparing surgery in heritable pheochromocytoma. European Journal of Endocrinology. 2016 Jan;174(1):R9-R18.

Benhammou JN, Boris RS, Pacak K, Pinto PA, Linehan WM, Bratslavsky G. Functional and Oncologic Outcomes of Partial Adrenalectomy for Pheochromocy-toma in Patients With von Hippel-Lindau Syndrome After at Least 5 Years of Followup. Journal of Urology. 2010 Nov;184(5):1855-9.

Grubbs EG, Rich TA, Ng C, Bhosale PR, Jimenez C, Evans DB, et al. Long-Term Outcomes of Surgical Treatment for Hereditary Pheochromocytoma. Journal of the American College of Surgeons. 2013 Feb;216(2):280-9.

Amar L, Servais A, Gimenez-Roqueplo A, Zinzindohoue F, Chatellier G, Plouin P. Year of Diagnosis, Features at Presentation, and Risk of Recurrence in Patients with Pheochromocytoma or Secreting Paraganglioma. The Journal of Clinical Endocrinology & Metabolism. 2005 Apr;90(4):2110-6.