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Updated: Aug 22, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
[Adrenal incidentaloma associated to elevated urinary normethanephrine in a patient with high blood pressure]
Carmen Maciá Bobes1, Aránzazu Ronzón Fernández, Isabel Alonso Troncoso
1Unidad de Endocrinología, Hospital San Agustín, Avilés, Asturias, España. cmacb@arrakis.es
Objectives:
To report one case of adrenal incidentaloma and to review the sensitivity and specificity of urine methanephrines in the diagnosis of pheochromocytoma.
Methods:
We report the case of a patient with high blood pressure and a left adrenal incidentaloma. Surgical excision of the mass was indicated after elevated urine methanephrine.
Results:
Pathologic study of the nodule established the diagnosis of cortical adenoma.
Conclusions:
The elevation of urine normethanephrine is a non-specific parameter for the diagnosis of pheochromocytoma.
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