The availability of radiopharmaceuticals to depict primary malignant pheoch
romocytoma and its metastases has markedly changed the approach to these un
usual cancers. Whole body screening afforded by scintigraphy allows remote
tumor involvement to be identified and provides staging information necessa
ry to guide subsequent therapy. The avid accumulation by malignant pheochro
mocytoma of some radiopharmaceuticals used for scanning has shown promise i
n therapeutic trials. In this paper, we discuss radiopharmaceuticals presen
tly employed in malignant pheochromocytoma for both diagnostic and therapeu
tic uses and potential future compounds that may find their way into clinic
al practice in the approach to these and other related neoplasms.