Stručni rad

From Pulsing Headache to Pheochromocytoma: The First Application of 123I-MIBG in the Scintigraphy in Croatia – A Case Report

Tatjana Bačun orcid.org/0000-0001-7012-5325 ; Internal Medicine Clinic, University Hospital Centre Osijek, Osijek, Croatia
Aleksandar Kibel ; Internal Medicine Clinic, University Hospital Centre Osijek, Osijek, Croatia
Ivan Mihaljević ; J. J. Strossmayer University of Osijek, School of Medicine, Osijek, Croatia
Vlado Wagenhofer ; J. J. Strossmayer University of Osijek, School of Medicine, Osijek, Croatia
Maja Starčević ; Clinical Institute of Nuclear Medicine and Radiation Protection, University Hospital Centre Osijek, Osijek, Croatia
Ljubica Glavaš-Obrovac orcid.org/0000-0001-7497-296X ; J. J. Strossmayer University of Osijek, School of Medicine, Osijek, Croatia

Sažetak

This case report presents a patient with pheocromocytoma and the first use of 123I-MIBG scintigraphy in the diagnostic workup of an adrenal gland tumor with elevated metanephrine and normetanephrine levels in Croatia. The patient had intensive pulsing headaches for a year. A tumour of the right suprarenal gland has been observed by ultrasound, by CT scan, and by MRI of the abdomen. A comprehensive endocrinological observation revealed significantly increased values of metanephrine, normetanephrine, epinephrine and noreinephrine. 123I-MIBG scintigraphy excluded multiple tumours and metastases of malignant pheochromocytoma. After surgery, diagnosis of pheochromocytoma was proven histologically. Three weeks after surgery, the values of metanephrine and normetanephrine were within the normal range.

Ključne riječi

pheochromocytoma; headache; hypertension; catecholamine; scintigraphy

Hrčak ID:

235122

URI

https://hrcak.srce.hr/235122

Datum izdavanja:

1.10.2019.

Posjeta: 1.212 *