Multiple Endocrine Neoplasia Type 2A.

Abstract

A 40-year-old woman was admitted with complaints of headache, palpitation and diaphore sis. She had undergone right hemithyroidectomy 12 years previously. Histological reexamination of the operative specimen revealed a medullary thyroid carcinoma. Abdominal ultrasonography, CT scan and angiography showed bilateral adrenal tumors. Serum catecholamine levels in both adrenal veins were high. Based on these data, bilateral adrenalectomy was performed. Histological examination confirmed the diagnosis of pheochromocytomas. After operation, serum calcitonin and urinary noradrenaline levels were still high. Further examination by 131I-metaiodobenzylguanidine (MIBG) scintigraphy is planned. (Internal Medicine 31: 798-802, 1992)

Pathology service and practice: Solo‐practice pathologist in a community hospital in Japan: Personal experience and a proposal for cost‐ and time‐effective practice

“…The author has been continuously assisting attending clinicians, residents and comedical staff. Through this assistance, some articles have been published in academic journals 21–31 …”