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Pheochromocytoma information


Pheochromocytoma
Other namesPhaeochromocytoma, adrenal medullary tumor, Chromaffin Cell Tumors, Paraganglioma
Normal remnant adrenal gland (left) with a pheochromocytoma (right) involving the adrenal medulla
Pronunciation
  • /ˌfˌkrmsʌɪˈtmə/[1] (fee-oh-kroh-moh-sahy-toh-muh)
SpecialtyEndocrinology, oncology
SymptomsHypertension, tachycardia, sweating, headache, pallor
ComplicationsHypertensive crisis
Diagnostic methodElevated plasma free metanephrines, plasma catecholamines, or urinary catecholamines
TreatmentSurgery, chemotherapy, radiation, and pharmacologic agents
MedicationAlpha blocker Doxazosin Prazosin Terazosin
Frequency0.8 per 100,000 person-years [2]

Pheochromocytoma is a rare tumor of the adrenal medulla composed of chromaffin cells, also known as pheochromocytes.[3] When a tumor composed of the same cells as a pheochromocytoma develops outside the adrenal gland, it is referred to as a paraganglioma.[4] These neuroendocrine tumors typically release massive amounts of catecholamines which result in the most common symptoms, including hypertension (high blood pressure), tachycardia (fast heart rate), and sweating.[5][6] Rarely, some tumors (especially paragangliomas) may secrete little to no catecholamines, making diagnosis difficult.[6] While tumors of the head and neck are parasympathetic, their sympathetic counterparts are predominantly located in the abdomen and pelvis, particularly concentrated at the organ of Zuckerkandl.[7]

  1. ^ "PHAEOCHROMOCYTOMA | Meaning & Definition for UK English". Lexico.com. Archived from the original on February 25, 2021. Retrieved 2022-08-24.
  2. ^ Beard CM, Sheps SG, Kurland LT, Carney JA, Lie JT (December 1983). "Occurrence of pheochromocytoma in Rochester, Minnesota, 1950 through 1979". Mayo Clinic Proceedings. 58 (12): 802–4. PMID 6645626.
  3. ^ Lenders JW, Eisenhofer G, Mannelli M, Pacak K (20–26 August 2005). "Phaeochromocytoma". Lancet. 366 (9486): 665–75. doi:10.1016/S0140-6736(05)67139-5. PMID 16112304. S2CID 208788653.
  4. ^ Oyasu R, Yang XJ, Yoshida O, eds. (2008). "What is the difference between pheochromocytoma and paraganglioma? What are the familial syndromes that have pheochromocytoma as a component? What are the pathologic features of pheochromocytoma indicating malignancy?". Questions in Daily Urologic Practice. Tokyo: Springer Japan. pp. 280–284. doi:10.1007/978-4-431-72819-1_49. ISBN 978-4-431-72819-1. {{cite book}}: |work= ignored (help)
  5. ^ Lenders JW, Pacak K, Walther MM, Linehan WM, Mannelli M, Friberg P, et al. (March 2002). "Biochemical diagnosis of pheochromocytoma: which test is best?". JAMA. 287 (11): 1427–34. doi:10.1001/jama.287.11.1427. PMID 11903030.
  6. ^ a b "Internal Medicine". JAMA. 286 (8): 971. 2001-08-22. doi:10.1001/jama.286.8.971-jbk0822-2-1. ISSN 0098-7484.
  7. ^ Kellerman RD, Rakel D (2020). Conn's Current Therapy. Elsevier–Health Science. ISBN 978-0-323-79006-2. OCLC 1145315791.

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