Shirkare S, Kuwert T, Weckesser M, Czech N, Langen K J, Muller-Gartner H W
Institut für Medizin, Forschungszentrum, Julich, Germany.
J Postgrad Med. 1994 Apr-Jun;40(2):85-7.
In a patient with the clinical diagnosis of pheochromocytoma, the localization of the tumor is essential for planning treatment. Recently, we have performed I-123 metaiodobenzylguanidine (MIBG) adrenal scintigraphy in a patient presenting with a history of paroxysmal hypertension. Scintigraphy accurately located an ectopic unilateral pheochromocytoma. The scintigraphic diagnosis was confirmed by surgery and a diagnosis of ectopic unilateral pheochromocytoma was made by histopathological examination. This case report illustrates the specific diagnosis of pheochromocytoma by I-123 MIBG scintigraphy which is especially useful when other diagnostic procedures are equivocal.
对于临床诊断为嗜铬细胞瘤的患者，肿瘤的定位对于制定治疗方案至关重要。最近，我们对一名有阵发性高血压病史的患者进行了I-123间碘苄胍（MIBG）肾上腺闪烁扫描。闪烁扫描准确地定位了一个异位单侧嗜铬细胞瘤。手术证实了闪烁扫描诊断，组织病理学检查确诊为异位单侧嗜铬细胞瘤。本病例报告说明了I-123 MIBG闪烁扫描对嗜铬细胞瘤的特异性诊断，当其他诊断方法不明确时，该方法尤其有用。
