What is the most appropriate approach to annual screening for phaeochromocytoma?

A 32-year-old man presented with medullary thyroid cancer, treated by total thyroidectomy. He had a past history of primary hyperparathyroidism, treated by selective parathyroidectomy. Postoperatively, plasma calcitonin was undetectable and serum calcium was in the normal range.

Investigations:

RET genotypeheterozygote codon 634 C>T mutation

What is the most appropriate approach to annual screening for phaeochromocytoma?
A . biochemical screening
B . CT scan of adrenal glands
C . MIBG scanning
D . MR scan of adrenal glands
E . octreotide scanning

View Answer

Answer: A