Case Report

Giant Cystic Pheochromocytoma with Low Risk of Malignancy: A Case Report and Literature Review

Table 1

Biochemical investigations confirming the pheochromocytoma diagnosis.

Patient valuesNormal values

Test (fractionated plasma)
Metanephrine259 pg/mL<58 pg/mL
Normetanephrine4603 pg/mL<149 pg/mL
Total metanephrine4862 pg/mL<206 pg/mL
Epinephrine16 pg/mL<84 pg/mL
Norepinephrine509 pg/mL<420 pg/mL
Dopamine<30 pg/mL<60 pg/mL
Total catecholamines525 pg/mL<504 pg/mL
Test (24-hour urine values)
Total catecholamines131 ug/24 hr<100 ug/24 hr
Norepinephrine120 ug/24 hr<80 ug/24 hr
Epinephrine11 ug/24 hr<20 ug/24 hr
Dopamine466 ug/24 hr<500 ug/24 hr
Vanillylmandelate (VMA)88.3 ug/24 hr3.8–6.7 mg/24 hr
Creatinine1.47 ug/24 hr0.63–2.50 g/24 hr