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Case Report 


Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma

Rashid Rasheed, Jawad A. Gillani, Abdul Samad, Khalid Hussain, Fayyaz Ahmad.


Abstract
Adrenocortical gland carcinoma (ACC) is a rare tumour with an incidence of about one case per million population. Silent ACC are difficult to diagnose as they are asymptomatic until development of mass effects or other related symptoms. We present a case of a silent ACC in a female who was being planned for platinum-based chemotherapy. CT scan showed partial thrombosis of IVC confirmed by Doppler ultrasound. Radionuclide venography (RNV) was used to confirm inferior vena cava (IVC) flow. Blood flow in the IVC was seen to be reduced; however, there were well developed superficial collateral venous channels in the patient. This case shows that RNV is an effective tool for pre-chemotherapy assessment of venous blood flow, which may help in planning on the type of chemotherapy.


 
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How to Cite this Article
Pubmed Style

Rasheed R, Gillani JA, Samad A, Hussain K, Ahmad F. Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma. Pak J Nucl Med. 2015; 5(1): 73-77.

Web Style

Rasheed R, Gillani JA, Samad A, Hussain K, Ahmad F. Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma. https://www.pjnmed.com/?mno=284585 [Access: June 29, 2026].

AMA (American Medical Association) Style

Rasheed R, Gillani JA, Samad A, Hussain K, Ahmad F. Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma. Pak J Nucl Med. 2015; 5(1): 73-77.


Vancouver/ICMJE Style

Rasheed R, Gillani JA, Samad A, Hussain K, Ahmad F. Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma. Pak J Nucl Med. (2015), [cited June 29, 2026]; 5(1): 73-77.


Harvard Style

Rasheed, R., Gillani, . J. A., Samad, . A., Hussain, . K. & Ahmad, . F. (2015) Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma. Pak J Nucl Med, 5 (1), 73-77.


Turabian Style

Rasheed, Rashid, Jawad A. Gillani, Abdul Samad, Khalid Hussain, and Fayyaz Ahmad. 2015. Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma. Pakistan Journal of Nuclear Medicine, 5 (1), 73-77.


Chicago Style

Rasheed, Rashid, Jawad A. Gillani, Abdul Samad, Khalid Hussain, and Fayyaz Ahmad. "Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma." Pakistan Journal of Nuclear Medicine 5 (2015), 73-77.


MLA (The Modern Language Association) Style

Rasheed, Rashid, Jawad A. Gillani, Abdul Samad, Khalid Hussain, and Fayyaz Ahmad. "Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma." Pakistan Journal of Nuclear Medicine 5.1 (2015), 73-77. Print.


APA (American Psychological Association) Style

Rasheed, R., Gillani, . J. A., Samad, . A., Hussain, . K. & Ahmad, . F. (2015) Radionuclide venography for the evaluation of collateral venous supply in inferior vena cava thrombosis before chemotherapy in a rare adrenal cortical carcinoma. Pakistan Journal of Nuclear Medicine, 5 (1), 73-77.




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