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Pheochromocytomatosis, a very rare form of pheochromocytoma recurrence, refers to new, multiple, and often small pheochromocytomas growing in and around the surgical resection bed of a previous adrenalectomy for a solitary pheochromocytoma. We here report a case of pheochromocytomatosis in a 70-year-old female. At age 64 years, she was diagnosed with a 6-cm right pheochromocytoma. She underwent laparoscopic right adrenalectomy, during which the tumor capsule was ruptured. At age 67 years, CT of abdomen did not detect recurrence. At age 69 years, she began experiencing episodes of headache and diaphoresis. At age 70 years, biochemical markers of pheochromocytoma became elevated with normal calcitonin level. CT revealed multiple nodules of various sizes in the right adrenal fossa, some of which were positive on metaiodobenzylguanidine (MIBG) scan. She underwent open resection of pheochromocytomatosis. Histological examination confirmed numerous pheochromocytomas ranging 0.1-1.2 cm in size. Next-generation sequencing of a panel of genes found a novel heterozygous germline c.570delC mutation in TMEM127, one of the genes that, if mutated, confers susceptibility to syndromic pheochromocytoma. Molecular analysis showed that the c.570delC mutation is likely pathogenic. Our case highlights the typical presentation of pheochromocytomatosis, a rare complication of adrenalectomy for pheochromocytoma. Previous cases and ours collectively demonstrate that tumor capsule rupture during adrenalectomy is a risk factor for pheochromocytomatosis. We also report a novel TMEM127 mutation in this case. Pheochromocytomatosis is a very rare form of pheochromocytoma recurrence.Pheochromocytomatosis refers to new, multiple and often small pheochromocytomas growing in and around the surgical resection bed of a previous adrenalectomy for a solitary pheochromocytoma.Tumor capsule rupture during adrenalectomy predisposes a patient to develop pheochromocytomatosis.Surgical resection of the multiple tumors of pheochromocytomatosis is recommended.Pheochromocytoma recurrence should prompt genetic testing for syndromic pheochromocytoma.

Occupational deviance is one of the most rampant and alarming phenomena in the workplace. It can have negative effects on the individual employee, the organization, the profession, and the larger society. Therefore, it is important to better understand the etiology of such behavior in the hopes of providing solutions to reduce it. One such theory that may provide a conceptual framework to help understand workplace deviance is Agnew's general strain theory. As such, the main goal of this research was to examine the predictive utility of general strain theory in explaining workplace deviance. Using a sample of 336 private bankers in Iran, the findings suggest that the important theoretical concepts of workplace strain, subjective strain, negative emotion, and deviant motivation all predicted workplace misconduct. Consistent with the theory, additional results demonstrated important mediated relationships, such that strain was indirectly related to workplace deviance through negative emotions and deviant motivation. Specific results, policy implications, and study limitations are discussed. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has precipitated quarantines in many urban settings, and rules have been enforced to ensure that citizens are complying with health-related mandates. However, anecdotal and empirical evidence confirm the prevalence of policy transgressions. Non-compliance with COVID-19 mandates can have severe consequences for individual health, societal fear, and the global economy. Thus, it is important to better understand the etiology of such misbehavior in the hopes of ensuring policy adherence. Using Agnew's social concern theory as a conceptual framework, this study investigates quarantine-related misbehavior in the urban context of Rasht, Iran. Survey data of 393 university students indicate that social concern theory can explain quarantine-related misbehavior. Specific findings, implications, limitations, and directions for future research are discussed. [ABSTRACT FROM AUTHOR]