Metastatic pheochromocytoma: An unusual case and its multidisciplinary management.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
J M Ruiz-Cánovas, E A Achote-Rea, T Alonso-Gordoa, A Martínez-Lorca, M Araujo-Castro
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引用次数: 0

Abstract

We describe the case of an 80-year-old man with sporadic right pheochromocytoma who developed metastatic disease six years after initial diagnosis. Despite adequate blood pressure control and initial biochemical cure criteria after surgery, elevated chromogranin A levels were detected during routine screening, which anticipated elevated 24-h urine metanephrines. Subsequent imaging tests revealed metastatic lesions in the lungs, liver, prostate and lymph nodes. The patient underwent systemic treatment with [131I] MIBG, which resulted in a decrease in chromogranin A levels, achieving radiological and clinical stability. This case highlights the importance of long-term follow-up and biochemical monitoring for early detection of tumor recurrence in patients with pheochromocytoma, emphasizing the need for individualized treatment strategies and interdisciplinary care.

转移性嗜铬细胞瘤:一个不寻常的病例及其多学科治疗。
我们描述了一例患有散发性右侧嗜铬细胞瘤的 80 岁男性病例,他在初次确诊六年后出现了转移性疾病。尽管手术后血压得到了充分控制,并达到了最初的生化治愈标准,但在常规筛查中发现嗜铬粒蛋白 A 水平升高,这预示着 24 小时尿中的甲肾上腺素升高。随后的影像学检查发现肺部、肝脏、前列腺和淋巴结有转移病灶。患者接受了[131I] MIBG的全身治疗,结果嗜铬粒蛋白A水平有所下降,达到了放射学和临床稳定。本病例强调了长期随访和生化监测对于早期发现嗜铬细胞瘤患者肿瘤复发的重要性,强调了个体化治疗策略和跨学科护理的必要性。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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