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Surgery FMGE 2018 1b373096

Best way to localize extra-adrenal pheochromocytoma:-

A
X-ray
B
Nucleotide scan
C
VMA excretion
D
Clinical examination
High-Yield Explanation
IOC for extra adrenal pheochromocytoma is MRI>MIBG scan(aka-nucleotide scan) Imaging MRI is IOC for adrenal, extra adrenal pheochromocytoma and in pregnancy MRI is 95% sensitive and 100% specific for pheochromocytoma CT scan should be performed without contrast administration to avoid hypeensive crisis. MIBG scan is useful for extra-adrenal pheochromocytoma but IOC is MRI even for extra adrenal pheochromocytoma. Biopsy is contraindicated as it precipitates hypeensive crisis

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