A 20-year-old hypeension patient has been diagnosed as a case of pheochromocytoma with positive biochemical evidence. What is the next step in work up of this patient?
Option A: 1st imaging of the Abdomen should be done in pheochromocyte in patient to locate whether it is adrenal or extra adrenal pheochromocytoma. If site of Tumor is not located means tumor is less than 1 cm, then MIBG scintigraphy should be done in patient. Screening Test= 24 hr.Urinary fractionated metanephrine levels. IOC: Plasma metanephrine level Imaging - MRI Abdomen If size <1cm Tumor 1. MIBG scan= for Adrenal Pheochromocytoma (Metaiodobenzyl guanidine scan) 2. PET DOPA= For Extra Adernal Pheochromocytoma.
MRI Abdomen
Perform urinary VMA levels
Perform adrenal vein sampling
MIBG scintigraphy
Disorders of Adrenal Gland