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Pheochromocytoma

J David Honeycutt, MD and Brett Ray Niles, DO Reviewed 05/2023
 


BASICS

DESCRIPTION

DIAGNOSIS

HISTORY

  • Classic triad: episodic headache, sweating, and hypertension

  • Spells: self-limited episodes of palpitations, diaphoresis, headache, tremor, or pallor

  • Palpitations (with or without hypert...

TREATMENT

MEDICATION

  • α-Blockers (phenoxybenzamine) are given as a first-line drug followed by β-blockers (propranolol) before surgery. α-Blockade must be done before β-blockade to prevent hypertensive ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Preoperatively, carefully monitor vital signs, correct fluid volume, and prevent intraoperative hypertensive crises.

  • Monitor BP and pulse daily.

  • F...

REFERENCES

1
Neumann HPH, Young WF, Eng C. Pheochromocytoma and Paraganglioma. N Engl J Med. 2019;381:552-565. doi: 10.1056/NEJMra1806651.
PMID: 31390501.
2
Lenders JW, Duh QY, Eisenhofer G, et al; for E...

SEE ALSO

Hypertension, Essential; Multiple Endocrine Neoplasia (MEN) Syndromes 

CODES

ICD10

  • D35.0 Benign neoplasm of adrenal gland

  • D35.00 Benign neoplasm of unspecified adrenal gland

  • D35.01 Benign neoplasm of right adrenal gland

  • D35.02 Benign neoplasm of left adrenal gland

  • C74.1 Malig...

CLINICAL PEARLS

  • Pheochromocytoma is a tumor of adrenal gland.

  • Classic symptoms include episodic headache, tachycardia, sweating, and hypertension.

  • Diagnosis is confirmed by increased 24-hour urine colle...

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