A Case of Bilateral Pheochromocytoma: Findings of US, CT, MRI and $^{131}I-MIBG$ Scan

양측성 갈색세포종의 초음파, CT, MRI와 $^{131}I-MIBG$ Scan 소견

  • Yang, Seoung-Oh (Department of Radiology, College of Medicine, Dong-A University) ;
  • Choi, Sang-Hee (Department of Radiology, College of Medicine, Dong-A University) ;
  • Nam, Kyung-Jin (Department of Radiology, College of Medicine, Dong-A University) ;
  • Lee, Yung-Il (Department of Radiology, College of Medicine, Dong-A University) ;
  • Kim, Young-Dae (Department of Internal Medicine, College of Medicine, Dong-A University) ;
  • Kim, Jong-Seong (Department of Internal Medicine, College of Medicine, Dong-A University)
  • 양승오 (동아대학교 의과대학 방사선과학교실) ;
  • 최상희 (동아대학교 의과대학 방사선과학교실) ;
  • 남경진 (동아대학교 의과대학 방사선과학교실) ;
  • 이영일 (동아대학교 의과대학 방사선과학교실) ;
  • 김영대 (동아대학교 의과대학 내과학교실) ;
  • 김종성 (동아대학교 의과대학 내과학교실)
  • Published : 1990.11.25

Abstract

Pheochromocytoma occurs at all ages but is most common in young to midadult life. In adults 10 percent of pheochronocytoma are bilateral. And bilateral lesions are common in the familial syndromes; within Multiple Endocrine Neoplasia (MEN) kindreds over half with pheochromocytomas have bilateral lesions. We report a case of bilateral pheochromocytoma firstly detected by ultrasonogram. This 24-year-old male was normotensive and had symptoms of dilated cardiomyopathy and elevated VMA level. CT and MRI were performed to evaluate the tissue nature and associated abnormalities. $^{131}I-MIBG$ scan seems to be the imaging of choice in patients with suspected multicentric/bilateral or recurrent or metastatic pheochromocytomas.

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