Case 214: Adrenal pheochromocytoma with perirenal brown fat stimulation
| Autor: | Segundo Jorge Méndez, Augusto Álvarez García, Daniel Romeu Vilar, María José Martínez-Sapiña Llanas |
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| Rok vydání: | 2015 |
| Předmět: |
endocrine system
Pathology medicine.medical_specialty endocrine system diseases business.industry Adrenal Gland Neoplasms Adipose tissue Stimulation Pheochromocytoma Middle Aged medicine.disease Adipose capsule of kidney Endocrinology Adrenal Pheochromocytoma Adipose Tissue Brown Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Female business Infiltration (medical) |
| Zdroj: | RUNA. Repositorio da Consellería de Sanidade e Sergas Servizo Galego de Saúde (SERGAS) |
| Popis: | History A 61-year-old woman with well-controlled diabetes presented with a 10-year history of hypertension, stifling sensation, and flushing. Her body mass index was 19.1 kg/m(2) (normal range, 18.5-25.0 kg/m(2)). She was being followed up for mild hypercalcemia (calcium level, 10.8 mg/dL [2.7 mmol/L]) (normal range, 8.5-10.5 mg/dL [2.12-2.62 mmol/L]) by the endocrinologist (S.J.M.), who decided to perform a technetium 99m sestamibi ((99m)Tc MIBI) parathyroid scan. The test showed an abnormal tracer deposit in the region of the clavicle and sternum; thus, unenhanced thoracic computed tomography (CT) was performed. No mass was seen in the region of abnormality. In light of these findings, the patient underwent contrast material-enhanced (120 mL of iopromide, Ultravist 300; Schering, Berlin, Germany) thoracic abdominopelvic CT. There was no history of underlying malignancy, and the complete blood counts were normal. The axial and appendicular skeleton showed no sign of lesions. |
| Databáze: | OpenAIRE |
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