Laparoscopıc adrenalectomy in a child wıth MEN 2A syndrome


Tander B. , Abalı S. , Cevık M. , Hafız G.

ESPES, Vicenza, İtalya, 11 - 13 Eylül 2019, ss.156

  • Basıldığı Şehir: Vicenza
  • Basıldığı Ülke: İtalya
  • Sayfa Sayısı: ss.156

Özet

AIM
We report here a case of MEN 2a syndrome and its management of diagnosis, who
was
treated with laparoscopic adrenalectomy.
CASE
14 years old male with neck swelling had a fine needle aspiration biopsy. The
diagnosis was medullary thyroid carcinoma. The calcitonin level was also elevated.
Hismother and grandfather had the same pathology. For the possible
pheochromacytoma, his catecholamins were found to be very high. The abdominal
MR revealed a right sided adrenal mass. A laparoscopic right adrenalectomy was
performed. The histopathologic examination revealed benign pheochromacytoma.
The diagnosis was MEN 2a syndrome and the RT c.1900T>C (p.Cys634rg) gene
mutation was found. The postoperative
alcitonin levels were dramatically decreased. He underwent total thyroidectomy and
neck dissection.The thyroid staging was T3N1M0. He is followed up for the left
adrenal gland.
CONCLUSION
In patients with MEN syndrome, the detection for pheochromacytoma has utmost
importance before any other surgery. The adrenalectomy can be performed
laparoscopically in many cases.