Malignant Pheochromocytoma with Multiple Hepatic Metastases Treated by Chemotherapy and Transcatheter Arterial Embolization

Kazuhiro TAKAHASHI; Naoto ASHIZAWA; Takako MINAMI; Shin SUZUKI; Ichiro SAKAMOTO; Kuniaki HAYASHI; Shiro TOMIYASU; Koji SUMIKAWA; Kazuo KITAMURA; Tanenao ETO; Katsusuke YANO

doi:10.2169/internalmedicine.38.349

Kazuhiro TAKAHASHI, Naoto ASHIZAWA, Takako MINAMI, Shin SUZUKI, Ichiro SAKAMOTO, Kuniaki HAYASHI, Shiro TOMIYASU, Koji SUMIKAWA, Kazuo KITAMURA, Tanenao ETO, Katsusuke YANO

Author information

Kazuhiro TAKAHASHI
The Third Department of Internal Medicine, Nagasaki University School of Medicine
Naoto ASHIZAWA
The Third Department of Internal Medicine, Nagasaki University School of Medicine
Takako MINAMI
The Third Department of Internal Medicine, Nagasaki University School of Medicine
Shin SUZUKI
The Third Department of Internal Medicine, Nagasaki University School of Medicine
Ichiro SAKAMOTO
The Radiology, Nagasaki University School of Medicine
Kuniaki HAYASHI
The Radiology, Nagasaki University School of Medicine
Shiro TOMIYASU
The Anesthesiology, Nagasaki University School of Medicine
Koji SUMIKAWA
The Anesthesiology, Nagasaki University School of Medicine
Kazuo KITAMURA
The First Department of Internal Medicine, Miyazaki Medical College
Tanenao ETO
The First Department of Internal Medicine, Miyazaki Medical College
Katsusuke YANO
The Third Department of Internal Medicine, Nagasaki University School of Medicine

Keywords: CVD regimen, adrenomedullin, noradrenaline, atrial natriuretic peptide, brain natriuretic peptide

JOURNAL FREE ACCESS

1999 Volume 38 Issue 4 Pages 349-354

DOI https://doi.org/10.2169/internalmedicine.38.349

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Abstract

A 62-year-old Japanese male developed multiple hepatic metastases two years after resection of pheochromocy toma of the right adrenal gland. Transcatheter arterial embolization (TAE) was performed for the purpose of the treatment of hepatic metastases resistant to 27 cycles of combined chemotherapy consisting of cyclophosphamide, vincristine, and dacarbazine. After TAE, the hepatic metastatic lesions decreased in size and hypertension passed its crisis. The present case suggests the utility of TAE for multiple hepatic metastases under careful blood pressure monitoring.
(Internal Medicine 38: 349-354, 1999)

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