title: Malignant pheochromocytoma with liver metastasis treated by transcatheter arterial chemo-embolization (TACE).
abstract: Multiple liver metastatic lesions were shown by computed tomography and scintigraphy with 123I- metaiodobenzylguanidine (MIBG) in a 76-year-old woman 2 years after resection of a pheochromocytoma of the right adrenal gland. Transcatheter arterial chemo-embolization (TACE) was performed for the liver metastasis, with blood pressure strictly controlled by administration of doxazosin and phentolamine for the prevention of hypertensive crisis after TACE. There were no severe adverse events associated with the treatment, and the number and size of the lesions were decreased. TACE with strict blood pressure control was an effective and safe therapy for multiple liver metastatic lesions related to malignant pheochromocytoma.
authors.affiliation: Department of Gastroenterology, Ehime Prefectural Central Hospital, Matsuyama. satohidaka@gmail.com
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hidaka
authors.forename: Atsushi
authors.initials: A
authors.lastname: Hiraoka
authors.forename: Hironori
authors.initials: H
authors.lastname: Ochi
authors.forename: Takahide
authors.initials: T
authors.lastname: Uehara
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Ninomiya
authors.forename: Yasunao
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Aki
authors.initials: A
authors.lastname: Hasebe
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tanihira
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tanabe
authors.forename: Misa
authors.initials: M
authors.lastname: Ichiryu
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Nakahara
authors.forename: Nayu
authors.initials: N
authors.lastname: Tazuya
authors.forename: Iku
authors.initials: I
authors.lastname: Ninomiya
authors.forename: Kojiro
authors.initials: K
authors.lastname: Michitaka
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D016461:Chemoembolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000628:therapy*; D010673:Pheochromocytoma / Q000000981:diagnostic imaging / Q000556:secondary / Q000628:therapy*; D014463:Ultrasonography
chemical_list: D000970:Antineoplastic Agents