It Is Not a Metastasis;It Is Phaeochromocytoma

摘要

Phaeochromocytoma has diverse clinical manifestations and in some cases can be asymptomatic. We report a case of intraoperative hypertensive crisis in a patient with ovarian carcinoma. An adrenal mass was identified by computed tomography scan but not investigated further; it was assumed that to be a metastatic lesion from the ovarian cancer. The patient was normo-tensive. The only diagnostic clue was left ventricular hypertrophy on electrocardiography. Biochemical screening for phaeochromocytoma should always be performed for any adrenal mass and attention should be paid to any diagnostic clues.