Intrapericardial paragangliomas (pheochromocytomas): imaging features

The imaging features of intrapericardial paragangliomas (pheochromocytomas) are described. We conducted a retrospective study of the imaging features of all intrapericardial paragangliomas seen at our institution over the last 13 years. In this study, intrapericardial paragangliomas were typically l...

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Veröffentlicht in:American journal of roentgenology (1976) 1997-01, Vol.168 (1), p.109-113
Hauptverfasser: Hamilton, BH, Francis, IR, Gross, BH, Korobkin, M, Shapiro, B, Shulkin, BL, Deeb, CM, Orringer, MB
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container_end_page 113
container_issue 1
container_start_page 109
container_title American journal of roentgenology (1976)
container_volume 168
creator Hamilton, BH
Francis, IR
Gross, BH
Korobkin, M
Shapiro, B
Shulkin, BL
Deeb, CM
Orringer, MB
description The imaging features of intrapericardial paragangliomas (pheochromocytomas) are described. We conducted a retrospective study of the imaging features of all intrapericardial paragangliomas seen at our institution over the last 13 years. In this study, intrapericardial paragangliomas were typically located adjacent to or involved the left atrium. The diameter of the tumors ranged from 3 to 8 cm. Metaiodobenzylguanidine (MIBG) scintigraphy revealed 11 of 12 tumors (sensitivity = 92%). After MIBG scintigraphic location, dynamic contrast-enhanced CT revealed all 12 tumors. Intrapericardial paragangliomas are rare tumors, typically located adjacent to or involving the left atrium. For initial detection, regional location of these extraadrenal tumors, and detection of distant metastases, MIBG scintigraphy is recommended. Dynamic contrast-enhanced CT or MR imaging can then provide detailed anatomic delineation before surgical resection.
doi_str_mv 10.2214/ajr.168.1.8976931
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We conducted a retrospective study of the imaging features of all intrapericardial paragangliomas seen at our institution over the last 13 years. In this study, intrapericardial paragangliomas were typically located adjacent to or involved the left atrium. The diameter of the tumors ranged from 3 to 8 cm. Metaiodobenzylguanidine (MIBG) scintigraphy revealed 11 of 12 tumors (sensitivity = 92%). After MIBG scintigraphic location, dynamic contrast-enhanced CT revealed all 12 tumors. Intrapericardial paragangliomas are rare tumors, typically located adjacent to or involving the left atrium. For initial detection, regional location of these extraadrenal tumors, and detection of distant metastases, MIBG scintigraphy is recommended. 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We conducted a retrospective study of the imaging features of all intrapericardial paragangliomas seen at our institution over the last 13 years. In this study, intrapericardial paragangliomas were typically located adjacent to or involved the left atrium. The diameter of the tumors ranged from 3 to 8 cm. Metaiodobenzylguanidine (MIBG) scintigraphy revealed 11 of 12 tumors (sensitivity = 92%). After MIBG scintigraphic location, dynamic contrast-enhanced CT revealed all 12 tumors. Intrapericardial paragangliomas are rare tumors, typically located adjacent to or involving the left atrium. For initial detection, regional location of these extraadrenal tumors, and detection of distant metastases, MIBG scintigraphy is recommended. Dynamic contrast-enhanced CT or MR imaging can then provide detailed anatomic delineation before surgical resection.</description><subject>3-Iodobenzylguanidine</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Contrast Media</subject><subject>Female</subject><subject>Heart - diagnostic imaging</subject><subject>Heart Atria</subject><subject>Heart Neoplasms - diagnosis</subject><subject>Heart Neoplasms - epidemiology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Iodine Radioisotopes</subject><subject>Iodobenzenes</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pheochromocytoma - diagnosis</subject><subject>Pheochromocytoma - epidemiology</subject><subject>Radiodiagnosis. Nmr imagery. 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Nmr spectrometry</topic><topic>Radionuclide Imaging</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamilton, BH</creatorcontrib><creatorcontrib>Francis, IR</creatorcontrib><creatorcontrib>Gross, BH</creatorcontrib><creatorcontrib>Korobkin, M</creatorcontrib><creatorcontrib>Shapiro, B</creatorcontrib><creatorcontrib>Shulkin, BL</creatorcontrib><creatorcontrib>Deeb, CM</creatorcontrib><creatorcontrib>Orringer, MB</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamilton, BH</au><au>Francis, IR</au><au>Gross, BH</au><au>Korobkin, M</au><au>Shapiro, B</au><au>Shulkin, BL</au><au>Deeb, CM</au><au>Orringer, MB</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intrapericardial paragangliomas (pheochromocytomas): imaging features</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1997-01-01</date><risdate>1997</risdate><volume>168</volume><issue>1</issue><spage>109</spage><epage>113</epage><pages>109-113</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>The imaging features of intrapericardial paragangliomas (pheochromocytomas) are described. 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source American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection
subjects 3-Iodobenzylguanidine
Adult
Biological and medical sciences
Cardiovascular system
Contrast Media
Female
Heart - diagnostic imaging
Heart Atria
Heart Neoplasms - diagnosis
Heart Neoplasms - epidemiology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Iodine Radioisotopes
Iodobenzenes
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Pheochromocytoma - diagnosis
Pheochromocytoma - epidemiology
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radionuclide Imaging
Retrospective Studies
Tomography, X-Ray Computed
title Intrapericardial paragangliomas (pheochromocytomas): imaging features
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