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Kim KA et al. - The authors presented a man for evaluation of general weakness. The suspected diagnosis was asymptomatic pheochromocytoma with sarcoidosis. A mediastinoscopic lymph node biopsy followed by endoscopic adrenalectomy was performed. Histologic tissue analysis confirmed an adrenal pheochromocytoma and sarcoid granulomas in the mediastinal lymph nodes. This case highlights the difficulty in determining the appropriate work up of patients presenting with an adrenal incidentaloma and concomitant systemic disease.

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