# A rare case of a composite phaeochromocytoma-ganglioneuroma in Australia

## TL;DR

This paper reports a rare case of a composite adrenal tumor in Australia successfully treated with a two-stage surgery over 20 years.

## Contribution

The novelty lies in documenting a successful long-term surgical management of a composite phaeochromocytoma-ganglioneuroma in Australia.

## Key findings

- A composite phaeochromocytoma-ganglioneuroma was successfully treated with a two-staged left adrenalectomy.
- The case highlights the importance of a multidisciplinary approach in managing rare adrenal tumors.
- Long-term follow-up confirmed a cure after 20 years of unplanned surgical intervention.

## Abstract

Composite phaeochromocytomas (CP) of the adrenal medulla are rare neuroendocrine tumours, comprising phaeochromocytoma and neurogenic components. They may present heterogeneously like ordinary phaeochromocytomas and are ideally managed surgically with a multidisciplinary approach. This report describes the case of a CP in Australia, which was cured by a surgical team in an unplanned two-staged left adrenalectomy over a 20-year period.