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Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
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Reducing State Anxiety Using Working Memory Maintenance
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Much more than anxiety...

Joana Teixeira1, Marta Almeida2, Mariana Afonso2

  • 1Paediatrics Department, Hospital de Braga, Braga, Portugal.

BMJ Case Reports
|August 7, 2015
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Summary
This summary is machine-generated.

This case report details a 14-year-old girl diagnosed with pheochromocytoma, a rare neuroendocrine tumor. Early detection and surgical intervention were crucial for managing her symptoms and the abdominal mass.

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Area of Science:

  • Pediatric Oncology
  • Endocrinology
  • Neurosurgery

Background:

  • Pheochromocytoma and paraganglioma are rare neuroendocrine tumors affecting children.
  • Early diagnosis and management are critical for favorable outcomes.

Observation:

  • A 14-year-old girl presented with an 11-month history of episodic symptoms including headache, nausea, dizziness, palpitations, and visual disturbances.
  • Imaging revealed a left paravertebral mass (5.8 × 4.6 × 3.5 cm).
  • Metaiodobenzylguanidine scintigraphy showed abnormal hyperfixation in the left upper quadrant.

Findings:

  • Elevated Chromogranin A and normetanephrine levels confirmed a catecholamine-secreting tumor.
  • Surgical exploration revealed the mass was connected to the adrenal gland.
  • A diagnosis of pheochromocytoma was established.

Implications:

  • This case highlights the importance of considering rare neuroendocrine tumors in pediatric patients with suggestive symptoms.
  • Prompt diagnosis and surgical resection are key to successful treatment.
  • Further research into pediatric pheochromocytoma is warranted.