CASE 374: MALIGNANT PHEOCHROMOCYTOMA AND CUSHING SYNDROME, Dr LÊ TUẤN KHUÊ, Dr NGUYỄN MINH THIỀN, Dr PHẠM THẾ ANH, Dr PHAN THANH HẢI, MEDIC MEDICAL CETER, HCMC, VIETNAM

Woman, 20 yo, discovered HTA in pregnant at 16 weeks . 5-months before this hospitalization: pregnant in 28ws, sudden obstetrical seizures in Ca Mau hospital. Diagnosis of eclampsia / hypertension / 28w pregnant. Treatment: cesarean section.

After surgery , patients changed body shape, round, fat face, neck, stretching skin, increasing weight gain, examination findings adrenal gland tumor in Can Tho General Hospital, then transferred to Binh Dan hospital.

In clinic examination, obesity, Cushing syndrome , other organs detect no abnormalities. HTA being treated.

Reduced blood ACTH and metanephrine, catecholamine and cortisol secretion Increased blood, urine.

MSCT: right adrenal tumor.

Conclusion: Female patient 20 yo, hospitalized for weight gain and HTA, Cushing syndrome.Blood and urine catecholamine increasing, blood and urine cortisol increasing, ACTH decreasing.

Removed by endoscopic surgery the right adrenal tumor. Pathological result is malignant pheochromocytoma.

A case of adrenal neoplasms has secreted - suppression of adrenal pituitary axis.