Cardiac malignant pheochromocytoma with bone metastases

A patient with malignant cardiac pheochromocytoma with bone metastases is d escribed. The primary tumor was located between the pulmonary trunk and the left atrium, while metastatic lesions were found in the iliac bones. Treat ments with antihypertensive agents, alpha-methylparatyrosine, and combinati on chemotherapy with cyclophosphamide, vincristine, and dacarbazine partial ly improved the patient's symptoms, catecholamine levels, and the metastati c lesion of the iliac bones. However, the primary tumor in the heart progre ssively increased in size and the patient died of disseminated intravascula r coagulation and other various complications about 4 years after the diagn osis of the disease.