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Updated: Jun 23, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Simultaneous adrenal pheochromocytoma and sarcoidosis
Kyoung-Ah Kim1, Se Won Kim, Gunmin Park
1Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang-shi, Gyeonggi-do, Korea. kyoung-ah.kim@duih.org
Abstract:
A 48-year-old man presented for evaluation of general weakness. Because he had a history of excessive alcohol use, an abdominal computed tomography scan was obtained, which revealed a left adrenal mass. Hormonal evaluation showed elevated levels of urinary catecholamines. Bilateral hilar lymphadenopathy was detected on a chest radiograph. The suspected diagnosis was asymptomatic pheochromocytoma with sarcoidosis. We performed a mediastinoscopic lymph node biopsy, which was followed by endoscopic adrenalectomy. Histologic tissue analysis confirmed an adrenal pheochromocytoma and sarcoid granulomas in the mediastinal lymph nodes. This case highlights the difficulty in determining the appropriate work up of patients presenting with an adrenal incidentaloma and concomitant systemic disease.
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