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Adrenal vein sampling for ACTH-producing pheochromocytomas
Adrenocorticotropic hormone (ACTH)-producing pheochromocytoma can cause a variety of clinical manifestations of excess catecholamine and corticosteroid. Anatomic localization of this source of ectopic ACTH is critical to facilitate unilateral adrenalectomy and prevent adrenal insufficiency due to bi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319476/ https://www.ncbi.nlm.nih.gov/pubmed/34345329 http://dx.doi.org/10.1016/j.radcr.2021.06.055 |
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author | Leader, Nicholas Ushinsky, Alexander Malone, Christopher D. |
author_facet | Leader, Nicholas Ushinsky, Alexander Malone, Christopher D. |
author_sort | Leader, Nicholas |
collection | PubMed |
description | Adrenocorticotropic hormone (ACTH)-producing pheochromocytoma can cause a variety of clinical manifestations of excess catecholamine and corticosteroid. Anatomic localization of this source of ectopic ACTH is critical to facilitate unilateral adrenalectomy and prevent adrenal insufficiency due to bilateral adrenalectomy. Although nuclear scintigraphy remains the diagnostic gold standard, recent radiotracer supply shortages have necessitated alternative diagnostic paradigms to localize adrenal pheochromocytomas. We present a case where adrenal vein sampling (AVS) was utilized to lateralize an adrenal pheochromocytoma and discuss the approach and nuance as it differs from routine AVS for hyperaldosteronism or hypercortisolism. |
format | Online Article Text |
id | pubmed-8319476 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-83194762021-08-02 Adrenal vein sampling for ACTH-producing pheochromocytomas Leader, Nicholas Ushinsky, Alexander Malone, Christopher D. Radiol Case Rep Case Report Adrenocorticotropic hormone (ACTH)-producing pheochromocytoma can cause a variety of clinical manifestations of excess catecholamine and corticosteroid. Anatomic localization of this source of ectopic ACTH is critical to facilitate unilateral adrenalectomy and prevent adrenal insufficiency due to bilateral adrenalectomy. Although nuclear scintigraphy remains the diagnostic gold standard, recent radiotracer supply shortages have necessitated alternative diagnostic paradigms to localize adrenal pheochromocytomas. We present a case where adrenal vein sampling (AVS) was utilized to lateralize an adrenal pheochromocytoma and discuss the approach and nuance as it differs from routine AVS for hyperaldosteronism or hypercortisolism. Elsevier 2021-07-15 /pmc/articles/PMC8319476/ /pubmed/34345329 http://dx.doi.org/10.1016/j.radcr.2021.06.055 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Leader, Nicholas Ushinsky, Alexander Malone, Christopher D. Adrenal vein sampling for ACTH-producing pheochromocytomas |
title | Adrenal vein sampling for ACTH-producing pheochromocytomas |
title_full | Adrenal vein sampling for ACTH-producing pheochromocytomas |
title_fullStr | Adrenal vein sampling for ACTH-producing pheochromocytomas |
title_full_unstemmed | Adrenal vein sampling for ACTH-producing pheochromocytomas |
title_short | Adrenal vein sampling for ACTH-producing pheochromocytomas |
title_sort | adrenal vein sampling for acth-producing pheochromocytomas |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319476/ https://www.ncbi.nlm.nih.gov/pubmed/34345329 http://dx.doi.org/10.1016/j.radcr.2021.06.055 |
work_keys_str_mv | AT leadernicholas adrenalveinsamplingforacthproducingpheochromocytomas AT ushinskyalexander adrenalveinsamplingforacthproducingpheochromocytomas AT malonechristopherd adrenalveinsamplingforacthproducingpheochromocytomas |