Kao P F, Huang M J, You D L, Tzen K Y
Department of Nuclear Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
J Formos Med Assoc. 1992 Dec;91 Suppl 4:S283-7.
It is difficult, but important, to diagnose extra-adrenal pheochromocytomas before surgery. Failure to recognize the existence and nature of an extra-adrenal pheochromocytoma can cause life-threatening problems even in a minor surgical operation. We present two rare cases of extra-adrenal pheochromocytomas which were detected by 131I-MIBG scintigraphy. One of them was intrapericardial, and the other was a vesical pheochromocytoma. We used a combined 99mTc-MDP bone scan and 131I-MIBG scintigraphy to locate the pheochromocytomas. Both cases of extra-adrenal pheochromocytoma were correctly diagnosed preoperatively and successfully resected in the subsequent operations.
在手术前诊断肾上腺外嗜铬细胞瘤既困难又重要。未能识别肾上腺外嗜铬细胞瘤的存在及其性质,即使在小型外科手术中也可能导致危及生命的问题。我们报告两例罕见的肾上腺外嗜铬细胞瘤,通过131I-MIBG闪烁扫描检测到。其中一例位于心包内,另一例为膀胱嗜铬细胞瘤。我们使用99mTc-MDP骨扫描和131I-MIBG闪烁扫描相结合的方法来定位嗜铬细胞瘤。两例肾上腺外嗜铬细胞瘤均在术前得到正确诊断,并在随后的手术中成功切除。