| A patient with a large recurrent pheochromocytoma demonstrating the pitfalls of diagnosis. | |
| | |
MedLine Citation:
|
PMID: 21894215 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Background. A 59-year-old man presented for a follow-up, 6 years after surgery for a large pheochromocytoma. He had suffered from diabetes mellitus, hypertension and abdominal pain in the right flank region. Previous postoperative follow-up did not reveal tumor recurrence.Investigation. Measurement of plasma free metanephrine and normetanephrine by high-performance liquid chromatography and radioimmunoassay; 123I-metaiodobenzylguanidine (MIBG) scintigraphy; hybrid 123I-MIBG single-photon emission CT (SPECT)-CT; MRI; testing for plasma norepinephrine and epinephrine; intraoperative ultrasonography; histological staining for chromogranin A and synaptophysin; and postoperative 18F-dihydroxyphenylalanine (DOPA) PET scan.Diagnosis. Recurrent pheochromocytoma.Management. Laparotomy with tumor resection. Reduction of antihypertensive medications. Further follow-up by MRI, hybrid 123I-MIBG SPECT-CT and testing for plasma catecholamines and free metanephrines. |
| | |
Authors:
|
Jörg Singer; Christian A Koch; Woubet Kassahun; Peter Lamesch; Graeme Eisenhofer; Regine Kluge; Thomas Lincke; Matthias Seiwerts; Gudrun Borte; Katrin Schierle; Ralf Paschke; |
Related Documents
:
|
21852905 - Evaluation of portal venous velocity with doppler ultrasound in patients with nonalcoho... 10065185 - Role of mri in the diagnosis of cervical brucellar spondylitis: case report. 413395 - Computed tomographic brain scanning in intraparenchymal pyogenic abscesses. 7291515 - Computed tomography of the lesser peritoneal sac. 2022985 - Indium-111-leukocyte imaging in acute cholecystitis. 6288505 - Diagnostic ability of hepatobiliary scintigraphy. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-9-06 |
Journal Detail:
|
Title: Nature reviews. Endocrinology Volume: - ISSN: 1759-5037 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-9-6 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101500078 Medline TA: Nat Rev Endocrinol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Antiresorptive therapies for osteoporosis: a clinical overview.
Next Document: Gastroesophageal Reflux Symptoms and Comorbid Asthma and Posttraumatic Stress Disorder Following the...