Tobias Else

Are you sure the patient has a pheochromocytoma or paraganglioma? Pheochromocytomas and paragangliomas are neoplastic lesions originating from ganglia cells of the autonomic nervous system. Pheochromocytomas are localized in the adrenal medulla. Sympathetic paragangliomas are mainly found in the abdomen. Parasympathetic paragangliomas are found in the head and neck area. Classical symptoms are spell-like and…

Are you sure the patient has adrenal cortical carcinoma? Adrenocortical carcinoma (ACC) is a rare disease with an incidence of < 1/million/year, a female predominance (M:F = 1:1.5), and peak occurrence in the 4th-5th decade of life. However, ACC can occur in children and is most often part of Li-Fraumeni syndrome. Patients present in one…