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Posterior Mediastinal Pheochromocytoma

Steven Chao1, Mark E. Mullins and Priscilla J. Slanetz

1 All authors: Department of Radiology, Division of Breast Imaging, ACC 219, Massachusetts General Hospital, 32 Fruit St., Boston, MA 02115.



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  		Fig. 1A. —19-year-old man with labile hypertension, headaches, palpitations, and diaphoresis. Frontal chest radiograph shows rounded right paraspinal mass.

 


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  		Fig. 1B. —19-year-old man with labile hypertension, headaches, palpitations, and diaphoresis. Coronal T1-weighted MR image shows characteristic salt-and-pepper appearance of paraspinal mass, confirming diagnosis of pheochromocytoma.

 


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  		Fig. 1C. —19-year-old man with labile hypertension, headaches, palpitations, and diaphoresis. Gross pathology specimen shows well-demarcated nodular right posterior mediastinal mass (seen on A and B). (Reprinted with permission from [5])

 


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  		Fig. 1D. —19-year-old man with labile hypertension, headaches, palpitations, and diaphoresis. Photomicrograph of specimen shows round nests of large regular polyhedral cells separated by congested capillaries. Note acellular tumor capsule. Both capillaries and capsule are typical of pheochromocytoma. (H and E, x100)

 

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