Salinas F, Alonso J M, Jara P, Alías E, Pérez V
Servicio de Medicina Interna, Hospital Virgen de la Arrixaca, El Palmar, Murcia.
Med Clin (Barc). 1992 Feb 15;98(6):221-3.
A patient with hepatic metastasis of an intestinal cancer tumor is presented. Six years previously the patient had been diagnosed of HTA secondary to pheochromocytoma of the left adrenal gland and surgery. The clinical findings are described and the results of scintigraphy with 123I-MIBG used for tumor detection are analyzed. The literature was revised and this unique presentation confirmed following the study and exclusion of a possible association with pluriglandular adenomatosis. Finally, following the poor results obtained with different therapeutic procedures in metastatic cancer tumors, the systematic, periodic determination of 5-HIAA, among other investigations, is suggested as a useful alternative in the early diagnosis and potential surgical treatment patients diagnosed of pheochromocytoma.
本文介绍了一名患有肠道癌肝转移的患者。六年前,该患者被诊断为继发于左肾上腺嗜铬细胞瘤的高血压并接受了手术。描述了临床症状,并分析了用于肿瘤检测的123I-MIBG闪烁扫描结果。查阅了文献,在研究并排除了与多腺腺瘤病可能的关联后,证实了这种独特的表现。最后,鉴于在转移性癌肿瘤中采用不同治疗方法取得的效果不佳,建议除其他检查外,系统、定期地测定5-羟吲哚乙酸(5-HIAA),作为诊断为嗜铬细胞瘤患者早期诊断和潜在手术治疗的一种有用的替代方法。