Research output: Contribution to journal › Article › peer-review
ФЕОХРОМОЦИТОМА ПРИ НЕЙРОФИБРОМАТОЗЕ 1 ТИПА. / Реброва, Дина Владимировна; Логинова, Ольга Ивановна; Непомнящая, Светлана Леонидовна; Бахтиярова, Алюза Рамильевна; Русаков, Владимир Федорович; Краснов, Леонид Михайлович; Федоров, Елисей Александрович; Чинчук, Игорь Константинович; Шихмагомедов, Шамиль Шамсудинович; Имянитов, Евгений Наумович; Кулешов, Олег Владимирович; Алексеев, Михаил Александрович; Придвижкина, Татьяна Сергеевна; Савельева, Татьяна Вячеславовна; Семенов, Арсений Андреевич; Згода, Екатерина Александровна; Черников, Роман Анатольевич; Слепцов, Илья Валерьевич.
In: ПРОБЛЕМЫ ЭНДОКРИНОЛОГИИ, Vol. 72, No. 1, 07.03.2026, p. 69-79.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - ФЕОХРОМОЦИТОМА ПРИ НЕЙРОФИБРОМАТОЗЕ 1 ТИПА
AU - Реброва, Дина Владимировна
AU - Логинова, Ольга Ивановна
AU - Непомнящая, Светлана Леонидовна
AU - Бахтиярова, Алюза Рамильевна
AU - Русаков, Владимир Федорович
AU - Краснов, Леонид Михайлович
AU - Федоров, Елисей Александрович
AU - Чинчук, Игорь Константинович
AU - Шихмагомедов, Шамиль Шамсудинович
AU - Имянитов, Евгений Наумович
AU - Кулешов, Олег Владимирович
AU - Алексеев, Михаил Александрович
AU - Придвижкина, Татьяна Сергеевна
AU - Савельева, Татьяна Вячеславовна
AU - Семенов, Арсений Андреевич
AU - Згода, Екатерина Александровна
AU - Черников, Роман Анатольевич
AU - Слепцов, Илья Валерьевич
PY - 2026/3/7
Y1 - 2026/3/7
N2 - Neurofibromatosis type 1 is a hereditary disease with a wide variability of clinical manifestations, from the almost complete absence of typical symptoms to a multisystem lesion of the body. One of the possible clinical manifestations of this pathology is a pheochromocytoma - a tumor of the adrenal gland with the possible development of considerable cardiovascular complications. The article describes four cases of patients with pheochromocytoma as part of familial neurofibromatosis type 1, differing in clinical course from asymptomatic form to vivid paroxysmal manifestations. At the same time, the presence and degree of arterial hypertension did not correlate with the level of metanephrines and the size of the pheochromocytoma. 3 out of 4 patients have a hereditary history of neurofibromatosis type 1. In 1 out of 4 cases, simultaneous bilateral damage to the adrenal glands was noted, while the radiation characteristics of pheochromocytomas, both with computed tomography and CT/PET with 18-FDG, differed from the "classic" ones. An objective examination with the identification of "erased" signs of neurofibromatosis type 1 made it possible to establish the diagnosis of bilateral pheochromocytoma even with questionable laboratory and imaging data. Knowledge of clinical manifestations, timely diagnosis of neurofibromatosis type 1, comprehensive treatment and subsequent regular monitoring of patients, as well as examination of blood relatives can significantly improve prognosis and survival.
AB - Neurofibromatosis type 1 is a hereditary disease with a wide variability of clinical manifestations, from the almost complete absence of typical symptoms to a multisystem lesion of the body. One of the possible clinical manifestations of this pathology is a pheochromocytoma - a tumor of the adrenal gland with the possible development of considerable cardiovascular complications. The article describes four cases of patients with pheochromocytoma as part of familial neurofibromatosis type 1, differing in clinical course from asymptomatic form to vivid paroxysmal manifestations. At the same time, the presence and degree of arterial hypertension did not correlate with the level of metanephrines and the size of the pheochromocytoma. 3 out of 4 patients have a hereditary history of neurofibromatosis type 1. In 1 out of 4 cases, simultaneous bilateral damage to the adrenal glands was noted, while the radiation characteristics of pheochromocytomas, both with computed tomography and CT/PET with 18-FDG, differed from the "classic" ones. An objective examination with the identification of "erased" signs of neurofibromatosis type 1 made it possible to establish the diagnosis of bilateral pheochromocytoma even with questionable laboratory and imaging data. Knowledge of clinical manifestations, timely diagnosis of neurofibromatosis type 1, comprehensive treatment and subsequent regular monitoring of patients, as well as examination of blood relatives can significantly improve prognosis and survival.
KW - Adrenal Gland Neoplasms/diagnosis
KW - Adult
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Neurofibromatosis 1/complications
KW - Pheochromocytoma/diagnosis
KW - Tomography, X-Ray Computed
UR - http://elibrary.ru/item.asp?id=89060365
UR - https://www.mendeley.com/catalogue/325c4362-2441-3b1e-aeeb-f1a7eabefc1a/
U2 - 10.14341/probl13608
DO - 10.14341/probl13608
M3 - статья
C2 - 41834598
VL - 72
SP - 69
EP - 79
JO - ПРОБЛЕМЫ ЭНДОКРИНОЛОГИИ
JF - ПРОБЛЕМЫ ЭНДОКРИНОЛОГИИ
SN - 0375-9660
IS - 1
ER -
ID: 151946512