title: [Malignant pheochromocytoma responsive to multimodal therapy: a case report].
abstract: A 62-year-old man underwent right adrenalectomy for pheochromocytoma in May 1987. He was referred to our department for a right renal tumor suggested by ultrasound sonography in December 2000. Computated tomography and MRI showed a 10 cm mass arising from the upper pole of the right kidney. 131I-MIBG scintigram showed strong radio isotope accumulation consistent with the tumor. Right nephrectomy and subsegmental hepatectomy were performed. Histological findings led to the diagnosis of malignant pheochromocytoma. In February 2001, he complained of paraplasia due to Th2 bone metastasis. Radiation and CVD (cyclophosphamide, vincristine, dacarbazine) chemotherapy resulted in tumor regression and marked improvement of clinical symptoms.
authors.affiliation: Department of Urology, Osaka Rosai Hospital.
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Mukai
authors.forename: Nobufumi
authors.initials: N
authors.lastname: Kanno
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakagawa
authors.forename: Motohide
authors.initials: M
authors.lastname: Uemura
authors.forename: Kensaku
authors.initials: K
authors.lastname: Nishimura
authors.forename: Susumu
authors.initials: S
authors.lastname: Miyoshi
authors.forename: Kyotaro
authors.initials: K
authors.lastname: Yoshida
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Kawano
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use*; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D003520:Cyclophosphamide / Q000008:administration & dosage; D003606:Dacarbazine / Q000008:administration & dosage; D004334:Drug Administration Schedule; D006801:Humans; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D018714:Radiotherapy, Adjuvant; D014750:Vincristine / Q000008:administration & dosage
chemical_list: D014750:Vincristine; D003606:Dacarbazine; D003520:Cyclophosphamide