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タイトル: 褐色細胞腫に起因する高カテコラミン血症により活性化した褐色脂肪にFDG集積を認めた1例
その他のタイトル: A Case Report : FDG Uptake to Brown Adipose Tissue Activated by Elevated Serum Catecholamine in a Patient with Pheochromocytoma
著者: 洪, 陽子  KAKEN_name
朝倉, 寿久  KAKEN_name
片山, 欽三  KAKEN_name
鄭, 則秀  KAKEN_name
原田, 泰規  KAKEN_name
西村, 健作  KAKEN_name
著者名の別形: Koh, Yoko
Asakura, Toshihisa
Katayama, Kinzo
Tei, Norihide
Harada, Yasunori
Nishimura, Kensaku
キーワード: Brown adipose tissue
FDG PET-CT
発行日: 30-Nov-2018
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要 = Acta urologica Japonica
巻: 64
号: 11
開始ページ: 435
終了ページ: 438
抄録: A 69-year-old woman was admitted to the previous hospital because of a right adrenal tumor detected by a medical checkup. Although the tumor was diagnosed as non-functional adrenal adenoma, abdominal computed tomography (CT) revealed a left renal mass which was suspected to be renal cell carcinoma. Chest CT seeking for metastatic lesions revealed lung cancer of the left lung. First, laparoscopic radical nephrectomy was performed. After the surgery, 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) CT performed for staging of the lung cancer demonstrated FDG uptake to the left lung mass, the heart, the right adrenal mass and perirenal regions of the right kidney. The patient showed elevated serum catecholamine level and hypertensive emergency. She was admitted to our hospital with a suspicion of pheochromocytoma of the right adrenal gland and multiple paraganglioma. CT and magnetic resonance imaging showed that the heart and the perirenal regions had no tumors. We considered these lesions brown adipose tissue. Under the diagnosis of pheochromocytoma of the right adrenal gland, laparoscopic partial adrenalectomy was performed. The clinical course after the surgery was uneventful. FDG PET-CT revealed that FDG uptake to brown adipose tissue disappeared 6 months after the partial adrenalectomy.
著作権等: 許諾条件により本文は2019/12/01に公開
DOI: 10.14989/ActaUrolJap_64_11_435
URI: http://hdl.handle.net/2433/235694
PubMed ID: 30543742
出現コレクション:Vol.64 No.11

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