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Pheochromocytoma Presenting With Remote Bony Recurrence Twenty Years After Initial Surgery: Detection With 68Ga-DOTANOC PET/CT

Parida, Girish Kumar MBBS; Dhull, Varun Singh MD; Sharma, Punit MD; Bal, Chandrasekhar MD; Kumar, Rakesh MD, PhD

doi: 10.1097/RLU.0b013e31828e98f0
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Abstract: Pheochromocytomas are rare tumors which can be malignant in 10% of cases. We present the case of a 75-year-old woman who presented with headache and palpitation for 1 year. She had a past history of right adrenalectomy for pheochromocytoma 20 years back. In between, the patient was asymptomatic. Twenty-four-hour urinary vanillylmandelic acid was raised. Noncontrast CT and ultrasound of abdomen were unremarkable. The patient underwent 68Ga-DOTANOC PET/CT that showed metastasis to left ilium, which was confirmed on biopsy.

From the Department of Nuclear Medicine, All India Institute of Medical sciences, New Delhi, India.

Received for publication December 9, 2012; and revision accepted February 21, 2013.

Conflicts of interest and sources of funding: none declared.

Reprints: Rakesh Kumar, MD, PhD, E-81, Ansari Nagar (East), AIIMS Campus, New Delhi 110029, India. E-mail: rkphulia@yahoo.com.

© 2014 by Lippincott Williams & Wilkins