Recurrent Ventricular Tachycardia in Malignant Metastatic Pheochromocytoma by Ji Won Park, Seung Jung Park, Kyu Yeon Hur, Jung Han Kim, Yoon La Choi, Sun.

Slides:

Advertisements

Similar presentations

Presentation of a Patient with an Unusual Composite Pheochromocytoma-Ganglioneuroblastoma Iqra Javeed MD 1, Arthur S Tischler MD 2, Michael E Tarnoff MD.

Advertisements

Neuroblastoma Case Records Of the Massachusetts General Hospital Case New England Journal of Medicine 1995;333:

Benign Giant-Cell Tumor of Bone with Metastasis to Mediastinal Lymph Nodes. A Case Report of Resection Facilitated with Use of steroids* by JONATHAN J.

Obstruction of right ventricular outflow tract by extended cardiac metastasis from esophageal cancer Ho-Joong Youn, MD, Seung Eun Jung, MD, Wook Sung.

CT and PET imaging in non-small cell lung cancer

Not Necessarily a Myocardial Infarction: New Left Bundle Branch Block

Acquired C797S Mutation upon Treatment with a T790M-Specific Third-Generation EGFR Inhibitor (HM61713) in Non–Small Cell Lung Cancer Haa-Na Song, MD,

The Automated Implantable Cardiac Defibrillator

BRCA1 Gene Mutation in Thymic Malignant Melanoma

Li Ding, Lingling Han, Yin Li, Jing Zhao, Ping He, Weizhen Zhang

Volume 75, Issue 12, Pages (June 2009)

by Youngjin Han, Hojong Park, Sun U

Three-dimensional Mapping of the Initiation of Nonsustained Ventricular Tachycardia in the Human Heart by Mina K. Chung, Steven M. Pogwizd, Dave P. Miller,

A Rare Pericardial Malignancy

Fig. 3.Findings of the 39-year-old man with extrapulmonary mass-like lesions (case 3). (A, B) Abdominal CT on admission day shows multiple hepatic nodules.

Fig. 1.Findings of the 32-year-old man with multiple pulmonary nodules (case 1). (A, B) Simple chest X-ray and chest CT on admission day show disseminated.

Two Cases of Small Cell Lung Cancer Transformation from EGFR Mutant Adenocarcinoma During AZD9291 Treatment Jun Soo Ham, MD, Seokhwi Kim, MD, Hee Kyung.

Curious Case of Wheezing: Carcinoid Heart Disease

Not Your Typical Renal Cyst

Immunoglobulin G4-related multiple cardiovascular lesions successfully treated with a combination of open surgery and corticosteroid therapy Meikun Kan-o,

Ventricular Arrhythmias

An Iatrogenic Metastasis

Positron Emission Tomography in Lung Cancer

Cortical Adenoma in Adrenohepatic Fusion Tissue: Clue to Making a Correct Diagnosis at Preoperative Computed Tomography Examination Byung Kwan Park,

Acquired C797S Mutation upon Treatment with a T790M-Specific Third-Generation EGFR Inhibitor (HM61713) in Non–Small Cell Lung Cancer Haa-Na Song, MD,

An Uncommon Cause of Obstructive Jaundice: An Infrequent Neoplasm

Immunoglobulin G4–Related Periaortitis Involving the Aortic Arch Mimicking a Mediastinal Tumor Min Jae Cha, MD, Semin Chong, MD, Yang Soo Kim, MD, Byungjoon.

Tuberculous cellulitis as a manifestation of miliary tuberculosis in a patient with malignancy-associated dermatomyositis Ji Eun Kim, MD, Joo Yeon Ko,

Surgically Resected Isolated Hepatic Metastasis from Non-small Cell Lung Cancer: A Case Report Kyu-Sik Kim, Kook-Joo Na, Yun-Hyeon Kim, Sung-Ja Ahn,

Beta-human Chorionic Gonadotropin-producing Renal Cell Carcinoma

Ovarian leiomyoma as a potential cause of compromised fertility

Sclerosing Pneumocytoma with Lymph Node Metastasis

Surgery Versus Snacking as Treatment of Insulinoma

Volume 1, Issue 2, Pages (March 2015)

Diffusion Magnetic Resonance Imaging in the Head and Neck

Slowly Growing Adrenal Mass: A 20-Year Incubation

Ashok K. Malani, MD, MS, Brian Olofsson, MD, David Debono, MD

Unexpected Small Bowel Intussusception Caused by Lung Cancer Metastasis on 18F- Fluorodeoxyglucose PET-CT Jeong Won Lee, MD, Seok-Ki Kim, MD, Ji Won Park,

Woman With Left Shoulder Bumps

Rapid Response of Brain Metastasis to Crizotinib in a Patient with ALK Rearrangement– Positive Non–Small-Cell Lung Cancer Hiroyasu Kaneda, MD, PhD, Isamu.

Positron emission tomographic imaging with fluorodeoxyglucose is efficacious in evaluating malignant pulmonary disease Geoffrey M. Graeber, MD*, Naresh.

Complex chromosomal rearrangements in infertile males: complexity of rearrangement affects spermatogenesis Ji Won Kim, M.D., Eun Mi Chang, M.D., Seung-Hun.

Volume 140, Issue 1, Pages (July 2011)

Small Cell Transformation and T790M Mutation as Coresistance Mechanisms for First- line Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor.

Epicardial Pacemaker Lead-Induced Ventricular Tachycardia

Lung Metastases from Esophageal Granular Cell Tumor: An Undoubted Criterion for Malignancy Isidro Machado, MD, PhD, Julia Cruz, MD, PhD, Estanislao Arana,

Quiz Page September 2009 American Journal of Kidney Diseases

Volume 142, Issue 3, Pages (September 2012)

A New KIT Gene Mutation in Thymic Cancer and a Promising Response to Imatinib Sung Hee Lim, MD, Ji-Yun Lee, MD, Jong-Mu Sun, MD, PhD, Kyoung-Mee Kim,

Complex chromosomal rearrangements in infertile males: complexity of rearrangement affects spermatogenesis Ji Won Kim, M.D., Eun Mi Chang, M.D., Seung-Hun.

Transformation to SCLC after Treatment with the ALK Inhibitor Alectinib Shiro Fujita, MD, PhD, Katsuhiro Masago, MD, PhD, Nobuyuki Katakami, MD, PhD,

Recurrent idiopathic polymorphic ventricular tachycardia/ventricular fibrillation successfully treated by cardiac sympathetic denervation Faisal Matto,

Atypical Thymoma (World Health Organization Type B3) with Neuroendocrine Differentiation Combined with Hyperparathyroidism Hyun Sik Park, MD, Sang Wha.

Mechanisms of Acquired Resistance to AZD9291

Oral quinine sulfate for the treatment of electrical storm and prevention of recurrent shocks in Brugada syndrome after failed cilostazol therapy Jayaprakash.

A Case of ALK-Rearranged Adenocarcinoma with Small Cell Carcinoma-Like Transformation and Resistance to Crizotinib Yoon Jin Cha, MD, PhD, Byoung Chul.

Asymptomatic but Functional Paraganglioma of the Posterior Mediastinum

The Heart of the Matter The American Journal of Medicine

Primary Malignant Ependymoma of the Lung

Detection of an Asymptomatic Right-Ventricle Cardiac Metastasis from a Small-Cell Lung Cancer by F-18-FDG PET/CT Maria Victoria Orcurto, MD, Angelika.

A Clear Cell Tumor of the Lung Presenting as a Rapidly Growing Coin Lesion: Is It Really a Benign Tumor? Alexandros Kalkanis, MD, Myrto Trianti, MD,

A Novel Fusion of TPR and ALK in Lung Adenocarcinoma

ANDREW H. LIMPER, M.D., UDAYA B.S. PRAKASH, M.D.

Miyako Igarashi et al. JACEP 2018;4:

Volume 3, Issue 5, Pages (September 2017)

Metastatic glucagonoma: Treatment with liver transplantation

A and B, Computed tomography (CT) of the chest prior to cabozantinib therapy demonstrated a dominant mass in the left upper lobe (B, black arrow), measuring.

In vivo bioluminescence imaging of primary tumors and tumor metastasis

Case 1. Case 1. A 6-year-old girl with an ill-defined lesion of the left pyriform sinus.A, Contrast-enhanced axial CT scan shows a moderately enhancing.

A, Superficial parotidectomy specimen (8. 0 × 6. 0 × 5

Presentation transcript:

Recurrent Ventricular Tachycardia in Malignant Metastatic Pheochromocytoma by Ji Won Park, Seung Jung Park, Kyu Yeon Hur, Jung Han Kim, Yoon La Choi, Sun Mi Park, Sung Min Kim, Eun Hee Koo, and June Soo Kim Circulation Volume 125(10):e435-e438 March 13, 2012 Copyright © American Heart Association, Inc. All rights reserved.

A, The initial ECG showed very rapid monomorphic ventricular tachycardia (VT) with right bundle-branch block morphology and left-axis deviation. A, The initial ECG showed very rapid monomorphic ventricular tachycardia (VT) with right bundle-branch block morphology and left-axis deviation. B, Nonsustained and sustained ventricular tachycardia recurred although the patient was treated with an α-blocker. C, Pulseless sustained VT accompanied by syncope developed when the oral β-blocker was skipped immediately after the adrenalectomy. D, Implantable cardioverter-defibrillator interrogation showed successful termination of fast VT by appropriate implantable cardioverter-defibrillator shock. Ji Won Park et al. Circulation. 2012;125:e435-e438 Copyright © American Heart Association, Inc. All rights reserved.

A and B, Adrenal computed tomography scans show a hypervascular mass with central necrotic change involving the left adrenal gland (arrowhead) with lymph node metastasis in the left para-aortic space (arrow). A and B, Adrenal computed tomography scans show a hypervascular mass with central necrotic change involving the left adrenal gland (arrowhead) with lymph node metastasis in the left para-aortic space (arrow). C and D, Computed tomography scans show multiple metastatic pulmonary nodules in both lungs. E, The I-123 metaiodobenzylguanidine scan shows several areas of abnormal uptake in the left upper posterior abdomen (arrowhead) and in the right lung field (arrow). F, Another region of focal uptake is visible between the previous lung lesions on the follow-up scan. Ji Won Park et al. Circulation. 2012;125:e435-e438 Copyright © American Heart Association, Inc. All rights reserved.

Changes in the levels of urinary catecholamine and its metabolites. Changes in the levels of urinary catecholamine and its metabolites. Before the adrenalectomy, urinary concentrations of normetanephrine (>2000 μg/24 h; reference range, 82–500 μg), vanillymandelic acid (VMA; 25.9 mg/24 h; reference range, ≤9 mg), and norepinephrine (>2000 μg/24 h; reference range, 15–80 μg) were significantly elevated. They began to decrease after removal of the mass and returned to within the normal ranges ≈6 weeks after I-131 metaiodobenzylguanidine (MIBG) therapy. POD indicates postoperative day. Ji Won Park et al. Circulation. 2012;125:e435-e438 Copyright © American Heart Association, Inc. All rights reserved.

A, The specimen consists of the 12×7×3-cm left kidney (arrow) and a well-capsulated 8×8×3-cm tumor (arrowhead). A, The specimen consists of the 12×7×3-cm left kidney (arrow) and a well-capsulated 8×8×3-cm tumor (arrowhead). The cut surface of the tumor shows a bright yellowish to tan sclerotic lesion encompassing the entire adrenal gland. B, The tumor cells have a finely granular basophilic cytoplasm with round to ovoid nucleoli (hematoxylin and eosin stain, ×400). C and D, Immunohistochemical staining shows strong cytoplasmic immunoreactivity to synaptophysin (×200) and chromogranin (×200), respectively. Ji Won Park et al. Circulation. 2012;125:e435-e438 Copyright © American Heart Association, Inc. All rights reserved.