Pheochromocytoma

Ashley Davidoff MD

Copyright 2012

Definition

Pheochromocytoma
Neovascularity
The angiogram of the right inferior adrenal artery shows mass that is characterised by hypervascularity and neovascularity (a). Image b is a magnified view of the inferior part of the mass that highlights the neovascularity that is characterized by vessels that have a non geometric pattern with vessels branching in odd directions and non progressive change in size, unlike the tree like branching that occurs in normal structures. This mass was diagnosed as a pheochromocytoma. Angiography is not safely performed in patients with pheochromocytoma since a crisis can be precipitated by the contrast. This case originates from an era prior to sophisticated imaging and biochemical evaluation
Copyright 2012 Courtesy Ashley Davidoff MD TheCommonVein.net 26500cL.8

 

Pheochromocytoma

Neovascularity

The angiogram of the right inferior adrenal artery shows mass that is characterised by hypervascularity and neovascularity (a). Image b is a magnified view of the inferior part of the mass that highlights the neovascularity that is characterized by vessels that have a non geometric pattern with vessels branching in odd directions and non progressive change in size, unlike the tree like branching that occurs in normal structures. This mass was diagnosed as a pheochromocytoma. Angiography is not safely performed in patients with pheochromocytoma since a crisis can be precipitated by the contrast. This case originates from an era prior to sophisticated imaging and biochemical evaluation

Copyright 2012 Courtesy Ashley Davidoff MD 26500cL.8