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Ann Thorac Surg 2002;74:924-926
© 2002 The Society of Thoracic Surgeons

Case report

Synchronous presentation of primary non-small cell lung carcinoma and pheochromocytoma

Edward P. Chen, MDa, Collin J. Weber, MDb, C. Daniel Smith, MDb, Joseph I. Miller, Jr, MD*a

a Division of Cardiothoracic Surgery, Emory University Affiliated Hospitals, Atlanta, Georgia, USA
b Division of General Surgery, Emory University Affiliated Hospitals, Atlanta, Georgia, USA

Accepted for publication April 1, 2002.

* Address reprint requests to Dr Miller, Division of Cardiothoracic Surgery, Emory University School of Medicine, 1365 Clifton Road, NE, Atlanta, GA 30322, USA
e-mail: judy_lawson{at}surgery.eushc.org

A 54-year-old man was diagnosed with a 3.2-cm primary right lower lobe non-small cell lung cancer and a synchronously present 2.5-cm right adrenal gland mass. Workup of the adrenal lesion revealed a pheochromocytoma. The patient underwent combined mediastinoscopy, laparoscopic right adrenalectomy, and right thoracotomy with right lower lobectomy. This case illustrates the importance of establishing a firm diagnosis for all synchronously present adrenal lesions that are discovered in the setting of primary lung carcinoma.






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