지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
A 53-year-old woman had a 1.7 cm left adrenal mass on an abdominal computed tomography (CT) scan. She presented with paroxysmal headache, palpitation, sweating, and hypertension. The patient was highly suspected of having a pheochromocytoma, but measurements of 24-hour urinary metanephrine, catecholamines, and vanillylmandelic acid were normal. Plasma and urine catecholamine levels were within the normal range even during paroxysmal episodes. A scintigraphic study with 131I-metaiodobenzylguanidine (MIBG) revealed selective concentration of the radiotracer, corresponding to the CT mass. The patient underwent a left adrenalectomy and the pathological examination confirmed the diagnosis of pheochromocytoma. In this report, we describe a rare case of a symptomatic pheochromocytoma with normal catecholamine levels. Our case illustrates that routine nuclear scintigraphy, such as 131I-MIBG, should be performed even in cases with normal hormonal testing for all patients with high clinical suspicion of pheochromocytoma. (Korean J Med 2012;83:503-509)
목차
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참고문헌 (10)
참고문헌 신청
Ahn SK / 1991 / Clinical review of pheochromocytoma / J Korean Soc Endocrinol 6 : 245 ~ 253
Bomanji J / 1987 / Uptake of iodine-123 MIBG by pheochromocytomas, paragangliomas, and neuroblastomas: a histopathological comparison / J Nucl Med 28 : 973 ~ 978
Greenblatt DY / 2008 / The utility of metaiodobenzylguanidine(MIBG) scintigraphy in patients with pheochromocytoma / Ann Surg Oncol 15 : 900 ~ 905
Mannelli M / 1993 / A nonsecreting pheochromocytoma presenting as an incidental adrenal mass: report on a case / J Endocrinol Invest 16 : 817 ~ 822
Maurea S / 1995 / The diagnosis of nonfunctioning pheochromocytoma: the role of I-123 MIBG imaging / Clin Nucl Med 20 : 22 ~ 24
Bomanji J / 1987 / Uptake of iodine-123 MIBG by pheochromocytomas, paragangliomas, and neuroblastomas: a histopathological comparison / J Nucl Med 28 : 973 ~ 978
Greenblatt DY / 2008 / The utility of metaiodobenzylguanidine(MIBG) scintigraphy in patients with pheochromocytoma / Ann Surg Oncol 15 : 900 ~ 905
Mannelli M / 1993 / A nonsecreting pheochromocytoma presenting as an incidental adrenal mass: report on a case / J Endocrinol Invest 16 : 817 ~ 822
Maurea S / 1995 / The diagnosis of nonfunctioning pheochromocytoma: the role of I-123 MIBG imaging / Clin Nucl Med 20 : 22 ~ 24
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