1病例报告患者男,44岁。因“发热3周,发现右侧肾上腺占位6天”入院。患者于3周前无明显诱因出现午后发热,体温38℃左右,对症治疗效果不佳。6天前行超声检查提示:右侧肾上腺区占位;进一步行CT检查提示:右侧肾上腺占位,考虑嗜铬细胞瘤。为进一步治疗,门诊以“右侧肾上腺占位性病变:嗜铬细胞瘤”收入院。发病以来,饮食、睡眠正常,大小便正常,体质量无明显变化。既往有高血压病史,现口服降压药,血压控制良好。体检:体温38.2℃,血压140/86 mmHg。神志清楚,全身浅表淋巴结未触及增大,肝脾未触及增大。入院后辅助检查:血常规检查示白细胞计数8.6×10~9/L,中性粒细胞0.623,淋巴细胞0.236,血红蛋白 A case report Male patient, 44 years old. Because “fever for 3 weeks, found the right adrenal placeholder for 6 days ” admission. No obvious incentive to patients in the afternoon 3 weeks before the onset of fever, body temperature 38 ℃, symptomatic treatment ineffective. Ultrasound examination 6 days ago prompted: the right adrenal area; further CT examination prompt: the right adrenal space, consider pheochromocytoma. For further treatment, clinic to “right adrenal space-occupying lesions: pheochromocytoma ” income hospital. Since the onset, diet, normal sleep, urine normal, no significant change in body mass. Past history of hypertension, oral antihypertensive drugs, blood pressure control. Physical examination: body temperature 38.2 ℃, blood pressure 140/86 mmHg. Consciousness, systemic superficial lymph nodes did not increase, liver and spleen did not touch increased. Auxiliary examination after admission: blood tests showed a white blood cell count 8.6 × 10 ~ 9 / L, neutrophils 0.623, lymphocytes 0.236, hemoglobin