Journal of Clinical Case Reports

Michael Lioudis

Publications

• Case Report
  Clinical Behavior of a V84L Mutation Pheochromocytoma
  Author(s): Maya N Clark-Cutaia, Michael Lioudis and Raymond R TownsendMaya N Clark-Cutaia, Michael Lioudis and Raymond R Townsend
  
  A 38 year old male with a history of anxiety, headaches, and diarrhea was referred to the hypertension clinic for evaluation. Clinical work-up revealed a right adrenal mass that was subsequently shown to be a pheochromocytoma and he underwent a total right adrenalectomy, with symptom resolution. The patient was referred to Medical Genetics for an evaluation and genotyping indicated von-Hippel Lindau (‘vHL’) V84L mutation. Four years later, the patient presented with a recurrent complaint of diarrhea. Diagnostic imaging showed a left ureteral tumor, though this was inconsistent with the gene mutation previously identified. A careful examination of the pathologic specimen disclosed the histologic presence of adrenal cortex at the tumor edge during evaluation. The patient had an adrenal “rest” on the left ureter, thus, he remained.. Read More»
  DOI: 10.4172/2165-7920.1000765

  Abstract PDF