Henri J L M Timmers, David Taïeb, Karel Pacak, Jacques W M Lenders
Pheochromocytomas/paragangliomas are unique in their highly variable molecular landscape driven by genetic alterations, either germline or somatic. These mutations translate into different clusters with distinct tumor locations, biochemical/metabolomic features, tumor cell characteristics (e.g. receptors, transporters) and disease course. Such tumor heterogeneity calls for different imaging strategies in order to provide proper diagnosis and follow-up. This also warrants selection of the most appropriate and locally available imaging modalities tailored to an individual patient based on consideration of many relevant factors including age, (anticipated) tumor location(s), size and multifocality, underlying genotype, biochemical phenotype, chance of metastases as well as the patient's personal preference and treatment goals...
January 11, 2024: Endocrine Reviews