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Case Reports in Urology
Volume 2014, Article ID 354687, 4 pages
Case Report

Giant Malignant Pheochromocytoma with Palpable Rib Metastases

1Department of Urology, Cumhuriyet University Medical Faculty, 58140 Sivas, Turkey
2Department of Endocrinology, Cumhuriyet University Medical Faculty, 58140 Sivas, Turkey
3Department of Pathology, Cumhuriyet University Medical Faculty, 58140 Sivas, Turkey

Received 7 April 2014; Revised 24 June 2014; Accepted 21 July 2014; Published 3 August 2014

Academic Editor: Christian Pavlovich

Copyright © 2014 Esat Korgali et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Pheochromocytoma is a rare and usually benign neuroendocrine neoplasm. Only 10% of all these tumors are malignant and there are no definitive histological or cytological criteria of malignancy. Single malignancy criteria are the presence of advanced locoregional disease or metastases. We report a case, with a giant retroperitoneal tumor having multiple metastases including palpable rib metastases, who was diagnosed as a malignant pheochromocytoma. The patient was treated with surgery. The literature was reviewed to evaluate tumor features and current diagnostic and therapeutic approaches for patients with metastatic or potentially malignant pheochromocytoma.