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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1988-9-16
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pubmed:abstractText |
The scintigraphic appearance of the neoplasms in multiple endocrine neoplasia type 2B (MEN-2B) and the interpretations of the image patterns are described. An 18-year-old male patient with the MEN-2B syndrome underwent TI-201 imaging that showed concentrations of TI-201 in the primary medullary thyroid carcinoma (MTC) tumor and in cervical lymph node metastases. After total thyroidectomy and lymph node dissection, the TI-201 image was normal. Catecholamine levels in the blood and urine were only borderline elevated. Yet, greater than normal concentrations of I-131 metaiodobenzylguanidine (I-131 MIBG) were present in both adrenal glands. Computed tomography of the abdomen showed normal adrenal glands. These results were consistent with the diagnosis of adrenal medullary hyperplasia, a precursor of pheochromocytoma. No operation was indicated to remove the adrenal glands. Imaging with TI-201 appears to be useful in identifying sites of MTC in patients with the MEN-2B syndrome. I-131 MIBG imaging, in conjunction with computed tomography of the adrenal glands and appropriate catecholamine measurements, should be performed in patients with the MEN-2B syndrome to determine the status of the adrenal medullae, which then may be classified as normal, hyperplastic, or tumorous with pheochromocytoma.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0363-9762
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
433-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2900089-3-Iodobenzylguanidine,
pubmed-meshheading:2900089-Adolescent,
pubmed-meshheading:2900089-Humans,
pubmed-meshheading:2900089-Iodine Radioisotopes,
pubmed-meshheading:2900089-Iodobenzenes,
pubmed-meshheading:2900089-Male,
pubmed-meshheading:2900089-Multiple Endocrine Neoplasia,
pubmed-meshheading:2900089-Syndrome,
pubmed-meshheading:2900089-Thallium Radioisotopes
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pubmed:year |
1988
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pubmed:articleTitle |
Scintigraphic portrayal of the syndrome of multiple endocrine neoplasia type-2B.
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pubmed:affiliation |
University of Michigan Medical Center, Ann Arbor.
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pubmed:publicationType |
Journal Article,
Case Reports
|