A 35-year old man develops severe headaches and has blood pressure of 200/120 mm Hg. He also notes anxiety, palpitations and sweating. He has been in good health and has had normal blood pressure readings on several occasions. The urine drug screen is negative. Further evaluation reveals a left suprarenal mass that subsequently is removed. Grossly, it appeared gray and tan centrally and yellowish on the cortex. On microscopy, there are large pink cells arranged in nests with capillaries between them.
What is the most likely diagnosis?
Most likely diagnosis is Pheochromocytoma
Acute complications are acute LVF, pulmonary edema, M.I. cerebrovascular accidents, CCF, ventricular fibrillation
Other helpful diagnostic tests urinary or serum catecholamines such as vanillyl mandelic acid
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