Failure of MIBG scan to detect metastases in SDHB-mutated pediatric metastatic pheochromocytoma Journal Article


Authors: Sait, S.; Pandit-Taskar, N.; Modak, S.
Article Title: Failure of MIBG scan to detect metastases in SDHB-mutated pediatric metastatic pheochromocytoma
Abstract: 123I-meta-iodo benzyl guanidine (MIBG) scans are considered the gold standard imaging in neuroblastoma; however, flouro deoxy glucose positron emission tomography (FDG-PET) scans have increased sensitivity in adults with pheochromocytoma/paraganglioma. We describe a pediatric patient initially considered to have localized neuroblastoma based on anatomical imaging and 123I-MIBG scan, but subsequent investigations revealed germline succinate dehydrogenase complex iron sulfur subunit B (SDHB) mutation–associated pheochromocytoma with multiple FDG-avid skeletal metastases. We then compared 123I-MIBG and FDG-PET scans in children with metastatic pheochromocytoma/paraganglioma. FDG-PET was superior to 123I-MIBG scan for the detection of skeletal metastases (median number of skeletal lesions detected 10 [range 1–30] vs. 2 [range 1–26], respectively; P = 0.005 by t-test). FDG-PET should be considered the functional scan of choice in children with pheochromocytoma/paraganglioma. © 2017 Wiley Periodicals, Inc.
Keywords: solid tumor; imaging; metastatic pheochromocytoma
Journal Title: Pediatric Blood and Cancer
Volume: 64
Issue: 11
ISSN: 1545-5009
Publisher: Wiley Periodicals, Inc  
Date Published: 2017-11-01
Start Page: e26549
Language: English
DOI: 10.1002/pbc.26549
PROVIDER: scopus
PUBMED: 28409892
DOI/URL:
Notes: Article -- Export Date: 4 October 2017 -- Source: Scopus
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  1. Shakeel Modak
    250 Modak