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Medicine
A 45 year old male was evaluated for secondary hypeension & was diagnosed with pheochromocytoma. MRI abdomen revealed a 3 cm mass in left adrenal gland. He underwent a left adrenalectomy. After this, his hypeension is well controlled. How will you decide whether his pheochromocytoma was malignant?
Approximately 50% of pheochromocytomas are malignant.
Cellular atypia and invasion of blood vessels on pathology define malignancy for pheochromocytoma.
123I-metaiodobenzylguanidine scans are not useful in locating distant metastases.
The absence of distant metastases rules out malignant disease.
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