Metanephrine mirage: distinguishing the phaeocopies, a case report and literature review

Neuroblastomas may be misdiagnosed as phaeochromocytomas given the ability to secrete catecholamines and similarities in radiological appearance. Differentiating neuroblastomas from phaeochromocytomas and paragangliomas (PPGL) is critical, but clinically difficult. Genomics are central for management; diagnosing ALK-positive neuroblastoma triggers consideration of ALK-targeted therapy, which is not relevant for PPGL. A critical eye is required for the accurate diagnosis and management of malignant adrenal incidentalomas.

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Publication Details

Journal
Clinical Diabetes and Endocrinology
Published
2024-11-15
DOI
https://doi.org/10.1186/s40842-024-00198-1
Primary Topic
Adrenal and Paraganglionic Tumors
Type
article
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article

Metanephrine mirage: distinguishing the phaeocopies, a case report and literature review

Christopher J. Yates, Joanna Y. Gong, David Gordon, Lisa Orme et al.
Clinical Diabetes and Endocrinology
Adrenal and Paraganglionic Tumors
article

Metanephrine mirage: distinguishing the phaeocopies, a case report and literature review

Christopher J. Yates, Joanna Y. Gong, David Gordon, Lisa Orme, Dev Kevat, Sylvia Ye, Emma Boehm, Bill Fleming, Jason Tan, Toby Hulf, Maryam Shamassi, Nezor Houli
article en

Abstract

Neuroblastomas may be misdiagnosed as phaeochromocytomas given the ability to secrete catecholamines and similarities in radiological appearance. Differentiating neuroblastomas from phaeochromocytomas and paragangliomas (PPGL) is critical, but clinically difficult. Genomics are central for management; diagnosing ALK-positive neuroblastoma triggers consideration of ALK-targeted therapy, which is not relevant for PPGL. A critical eye is required for the accurate diagnosis and management of malignant adrenal incidentalomas.

Clinical Diabetes and EndocrinologyVol. 10(1)
Royal Children's Hospital (AU), The University of Melbourne (AU), Peter MacCallum Cancer Centre (AU), Eastern Health (AU), Western Health (AU), Monash Health (AU)
Good health and well-being
Openalex Percentile: Top 61%
Adrenal and Paraganglionic Tumors
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Metanephrine mirage: distinguishing the phaeocopies, a case report and literature review — Christopher J. Yates, Joanna Y. Gong, et al. · Clinical Diabetes and Endocrinology (2024) | TGRS Research Map | TGRS