Late presentation of metastatic pheochromocytoma: a problem case solved by I-131 MIBG scintigraphy. |
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Authors: | O Geatti B Shapiro L Virgolini |
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Affiliation: | Istituto di Medicina Nucleare, Ospedale Civile di Udine, Italy. |
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Abstract: | A patient presented with recurrent pheochromocytoma 10 years following the apparently successful surgical cure of a right adrenal pheochromocytoma. Conventional medical imaging techniques, (chest radiograph, abdominal ultrasound, and abdominal CT) suggested local recurrence for which surgery was planned. I-131 MIBG scintigraphy revealed disseminated metastatic disease that rendered attempts at surgical cure futile. The patient was treated with three therapeutic doses of I-131 MIBG with good symptomatic palliation and improvement of some biochemical parameters. |
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