I-MIBG ON DIAGNOSTIC AND THERAPEUTIC FRONTIERS IN EXTRA-ADRENAL ABDOMINAL PARAGANGLIOMAS: A CASE REPORT WITH MINI REVIEW A L O F RA D IO L O GY Case Report (original) (raw)

There was no evidence of pulmonary or liver metastases. After 3 days a whole body radionuclide bone scan (Techentium-99m Methylene Diphos-phonate) was performed which revealed multiple bony metastases with lateral displacement of left kidney due to clinically known retroperitoneal mass (Fig. 3). A CT guided core biopsy of left sided abdominal mass was done and histopathology revealed paraganglioma. His vanillylmandelic acid level was raised (30 mg; Normal <13.6 mg). He underwent an exploratory laparatomy and retroperitoneal mass was resected with left kidney. Histopathology revealed paraganglioma (Ki-67 proliferative index 15-20%) and no evidence of tumor invasion to left kidney. We present a case of 39 years old male, known diabetic and mildly hypertensive with 8 months history of lower backache. His MRI spine revealed a large retro-peritoneal mass close to left kidney with abnormal signal intensity lesions over T10-11, L1,2,4,5 and both iliac bones with a provisional diagnosis ...