Dopamine in paragangliomas of the glomus jugulare

Laryngoscope. 1988 May;98(5):573-8. doi: 10.1288/00005537-198805000-00020.

Abstract

Glomus jugulare tumors have the ability to synthesize, store, and secrete biogenic amines. Although the majority of these tumors remain endocrinologically silent, on rare occasions they present either as a pheochromocytoma or with a carcinoid syndrome. We report a 20-year-old male with two intracranial tumors: an intrasellar neoplasm and a glomus jugulare tumor. Catecholamine catabolites in the urine were not increased, and blood pressure was always normal. The pituitary tumor was an adenoma, immunostaining positive for prolactin. The second patient, a 29-year-old hypertensive male, with a glomus jugulare tumor, had increased vanillylmandelic-acid excretion. In both cases, the paraganglioma tumor cells contained numerous dense-core vesicles (125 to 380 nm in diameter) in electron microscopy, and showed intense fluorescence by the sucrose-potassium phosphate-glyoxylic acid method. Using high-performance liquid chromatography and microspectrofluorometry we were able to establish the presence of large amounts of dopamine in the cytoplasm of the tumor cells.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / pathology
  • Adult
  • Child, Preschool
  • Chromatography, High Pressure Liquid
  • Cytoplasm / analysis
  • Dopamine / analysis*
  • Glomus Jugulare Tumor / analysis*
  • Glomus Jugulare Tumor / metabolism
  • Glomus Jugulare Tumor / pathology
  • Glomus Jugulare Tumor / ultrastructure
  • Histocytochemistry
  • Humans
  • Male
  • Microscopy, Electron
  • Neoplasms, Multiple Primary
  • Paraganglioma, Extra-Adrenal / analysis*
  • Pituitary Neoplasms / pathology
  • Spectrometry, Fluorescence

Substances

  • Dopamine