Metanephrine-Free Plasma is a blood test that measures free metanephrine and normetanephrine, breakdown products of hormones such as adrenaline and noradrenaline. It is needed to help detect or rule out hormone-secreting tumors, particularly pheochromocytoma and paraganglioma. Healthcare professionals may recommend it for unexplained or fluctuating high blood pressure, episodes of severe headache, palpitations, sweating, or when an adrenal mass or hereditary risk is identified.
They are rare tumours that may produce excessive amounts of catecholamine hormones.
It can indicate whether excess catecholamine production may be present, but additional imaging and clinical evaluation are usually required.
A normal result generally makes a catecholamine-secreting tumour less likely, although results must be interpreted with the clinical history.
It may suggest excess catecholamine production, but stress, medicines, and other factors can cause false-positive results.