Abstract
Pheochromocytoma is a chromaffin tumor in which 10% are extra-adrenal and 10% are malignant. I-131 metaiodobenzylguanidine (MIBG) scintigraphy has an important role in the identification of these tumors and investigation of metastatic lesions. The authors describe a 36-year-old woman who underwent resection of a malignant left adrenal pheochromocytoma who was thought to have metastases in the liver and para-aortic lymph nodes. Fusion images of I-131 MIBG SPECT and magnetic resonance studies were obtained to properly identify the metastatic lesions. These fusion images helped greatly in subsequent surgery.
MeSH terms
-
3-Iodobenzylguanidine*
-
Adrenal Gland Neoplasms / diagnosis*
-
Adrenal Gland Neoplasms / diagnostic imaging
-
Adult
-
Female
-
Humans
-
Image Processing, Computer-Assisted / methods
-
Intraoperative Care
-
Liver Neoplasms / secondary
-
Liver Neoplasms / surgery
-
Lymph Node Excision
-
Lymphatic Metastasis
-
Magnetic Resonance Imaging*
-
Patient Care Planning
-
Pheochromocytoma / diagnosis*
-
Pheochromocytoma / diagnostic imaging
-
Pheochromocytoma / secondary
-
Pheochromocytoma / surgery
-
Radiopharmaceuticals*
-
Tomography, Emission-Computed, Single-Photon*
-
Ultrasonography, Interventional
Substances
-
Radiopharmaceuticals
-
3-Iodobenzylguanidine