Which is the best treatment for management of malignant pheochromocytoma?: (A) Alpha blockers, (B) Chemotherapy, (C) Bulk reducing surgery, (D) I131-MIBG
Answer is D. The first line choice for management of malignant pheochromocytoma is I131- MIBG at monthly intervals over three to six cycles. This is followed by Averbuch Chemotherapy protocol including dacarbazine, cyclophosphamide and vincristine.