A case of added value of 123I-mIBG SPECT/CT imaging in the diagnosis of a pheochromocytoma extending into the left adrenal vein. Issue 3 (4th May 2017)

• Record Type: Journal Article
• Authors: Paques, Florence; Hamoir, Etienne; Lovinfosse, Pierre; Hustinx, Roland; Withofs, Nadia
• Is Part Of: Acta chirurgica belgica. Volume 117:Issue 3(2017)
• Page Start: 192
• Page End: 195
• Publication Date: 2017-05-04
• Subjects: MIBG -- pheochromocytoma -- scintigraphy -- adrenal mass; Surgery -- Periodicals; General Surgery; Chirurgie -- Périodiques; Surgery; Chirurgie (geneeskunde); Periodicals; Periodicals; 617.005
• DOI: 10.1080/00015458.2016.1240917
• Languages: English
• ISSNs: 0001-5458

Abstract

Abstract: We present the case of a 48-year-old patient with a left adrenal incidentaloma found on computed tomography (CT) for which the diagnosis of pheochromocytoma was confirmed by a 24-hour urinary dosage of norepinephrine. The 123 I-mIBG scintigraphy showed a high uptake of 123 I-mIBG in the left adrenal gland and, additionally, the single photon emission computed tomography combined with a low-dose CT (SPECT/CT) suggested the extension into the adrenal vein. The diagnostic CT and magnetic resonance images agreed with these findings and the subsequent surgery confirmed the vascular invasion.