A case of von hippel-lindau disease with bilateral phenochromocytoma, renal cell carcinoma, pelvic, tumor, spinal hemangioblastoma and primary hyperparathyroidism

摘要

A rare case of von Hippel-Lindau(VHL)disease with bilateral pheochromocytomas, right renal cell carci- noma, right pelvic carcinoma, spinal hemangioblastoma and primary hyperparathyroidism is described. A 78-year old woman had a history of hypertension from her forties. She suffered from headache and body weight loss. Ab- dominal CT revealed bilateral adrenal tumors and right external renal enhanced in early stage. MIBG scin- tigraphy exhibited a high accumulation of tracer in both adrenal glands. On the basis of the radiographic findings and endocrinological results, the patient was diagnosed as having bilateral pheochromocytomas and right renal cell carcinoma.