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An Extra-adrenal Pheochromocytoma Presenting as Malignant Hypertension-A Report of two cases
Mahesh Kumar U1, Pankaj Pande, Ss Savita
1Associate Professor, Department of Pathology, Pratima Institute of Medical Sciences , Karimnagar, India .
Insights
Malignant hypertension, a severe form of high blood pressure, can rarely be caused by paraganglioma, a type of tumor. This report details two unique cases linking this condition to paraganglioma.
Area of Science:
- Endocrinology
- Nephrology
- Oncology
Background:
- Malignant hypertension is a critical hypertensive complication with severely elevated blood pressure.
- It is infrequently secondary to paraganglioma, a neuroendocrine tumor.
- The association between malignant hypertension and catecholamine-secreting paraganglioma is unique.
Purpose of the Study:
- To report two rare instances of malignant hypertension.
- To highlight the association with paraganglioma in unusual locations.
Main Methods:
- Case report presentation.
- Review of clinical data and diagnostic findings for two patients.
Main Results:
- Two patients presented with malignant hypertension.
- Paraganglioma was identified as the underlying cause in both cases.
- Tumor locations were tonsil and urinary bladder, which are rare sites for paraganglioma.
Conclusions:
- Malignant hypertension can be a rare manifestation of paraganglioma.
- Clinicians should consider paraganglioma in the differential diagnosis of malignant hypertension, even with unusual tumor locations.
Abstract:
Malignant hypertension is a complication of hypertension characterized by elevated blood pressure (200mm/140mm Hg), is considered a medical emergency and is rarely secondary to paraganglioma. Malignant hypertension is unique in its relationship to a catecholamine secreting paraganglioma. We present two rare cases of malignant hypertension associated with paraganglioma of tonsil and urinary bladder.
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