Top
25
Doctor insights on: Pheochromocytoma

Share
Dr. Richard Orr
507 doctors shared insights

Pheochromocytoma (Overview)

A tumor of the adrenal gland. The adrenal glands are small organs that sit above the kidneys and secrete important hormones that are responsible for maintain body fluid and electrolyte levels and helps people respond to stress. A pheochromocytoma can cause the release of too much stress hormone such as epinephrine, leading to periodic increases in blood pressure, flushing, and a racing heart beat.


Dr. Richard Orr
507 doctors shared insights

Pheochromocytoma (Overview)

A tumor of the adrenal gland. The adrenal glands are small organs that sit above the kidneys and secrete important hormones that are responsible for maintain body fluid and electrolyte levels and helps people respond to stress. A pheochromocytoma can cause the release of too much stress hormone such as epinephrine, leading to periodic increases in blood pressure, flushing, and a racing heart beat.


2

2
What are the symptoms of pheochromocytomas?

What are the symptoms of pheochromocytomas?

Blood pressure: Symptoms of pheochromocytoma may be very hard to control high blood pressure, may have intermittent spikes in high blood pressure, fast heart rate, sweating, intermittent severe headaches. It is an abnormal growth of the adrenal gland, and identified by blood tests for certain hormone level & can be seen on ct scan. ...Read more

3

3
What are the signs of a pheochromocytoma?

What are the signs of a pheochromocytoma?

Pheochromocytoma: There are whole books written about the symptoms of pheochromocytoma. Classics are hypertension, headache, hyper metabolism, hyperhidrosis, and hyper heart rate. Some will have cafe-au-lait spots. Some will have neurofibromatosis. You can google these images and see if you have them. This is a deadly disease that I specialize in and happy to do 2nd opinion to help you and your team . ...Read more

See 1 more doctor answer
4

4
What are the different diagnosis of pheochromocytoma?

What are the different diagnosis of pheochromocytoma?

Pheo: This is a rare but dangerous condition. Make sure the diagnosis was made correctly. You should already have an endocrinologist on the team if you were diagnose with this. Differential diagnosis include: drug side effects (legal and illegal), drug withdrawal (legal or illegal), carcinoids, hyperthyroidism, macrocytosis, insulinoma, panic attacks, labile essential hypertension, anxiety disorders... ...Read more

5

5
How is pheochromocytoma diagnosed?

How is pheochromocytoma diagnosed?

Options: Signs and symptoms are helpful. The 2 best tests for pheo are plasma fractionated metanephrines or 24 hrs urinary metanephrines and catecholamines. Once these are positive, imagine studies will be used to localize the tumor. ...Read more

See 2 more doctor answers
6

6
Can a CT test miss a pheochromocytoma?

Can a CT test miss a pheochromocytoma?

Could : Yes. Depends on location. Blood and urine tests are better. See an endocrinologist www.Drlugo.Com. ...Read more

See 1 more doctor answer
7

7
Why are there so many different types of tests for pheochromocytoma, and which ones should I have performed?

Why are there so many different types of tests for pheochromocytoma, and which ones should I have performed?

Two major types: Plasma-free catecholamines (epinephrine and norepinephrine) and metanephrines (metabolites of catecholamines) can be measured after an 'attack' of pheochromocytoma, using a blood sample. This is a very useful test, simple to collect. Alternatively, 24-hour urine testing for catechol and metaneph can also be helpful after an 'attack'. Other testing using drugs are complicated and rarely needed. ...Read more

See 1 more doctor answer
8

8
How do I know if I have pheochromocytoma (adrenal gland tumour)?

Laboratory tests: There are symptoms commonly associated with a pheochromocytoma and there are specific tests of the blood and urine (metanephrines and catecholamines) that can indicate or suggest the presence or absence of a pheochromocytoma. ...Read more

9

9
Can a pheochromocytoma cause an isquemic and transitory attack?

Pheo: Yes. A pheochromocytoma can cause a very high spike in blood pressure, which can cause a TIA (transient ischemic attack), or a mini-stroke, or a major stroke, or a heart attack, etc. It can be very dangerous. A pheo is a rather rare disorder, but if you have it, you need attention right away. ...Read more

See 1 more doctor answer
10

10
I have many of the symptoms of pheochromocytoma. Does this mean that I have it? 

I have many of the symptoms of pheochromocytoma. Does this mean that I have it? 

Get tested: If you have many symptoms of pheochromocytoma, you should see your doctor to get it tested. The workup is complicated but it usually starts with 24 urine test and/or blood test. These tests are very good and if they come back normal (despite you still having symptoms), then it's unlikely that you have pheochromocytoma and it's time to look at other possible causes. ...Read more

See 2 more doctor answers
11

11
How is pheochromocytoma treated? 

How is pheochromocytoma treated? 

Surgery: Remove it. Phentolamine and Phenoxybenzamine are medications that are often used preoperatively to temporarily control symptoms before it's resected. ...Read more

See 2 more doctor answers
12

12
What specialist treats a pheochromocytoma?

Endo and surgeon: Pheochromocytomas need to be surgically removed, but the patient needs to be given certain types of blood pressure medications before hand. A surgeon experienced in pheos and an endocrinologist need to be part of your health care team. ...Read more

See 1 more doctor answer
13

13
Why they say that it is dangerous to take beta blockers only and before alpha blockers in pheochromocytoma treatment? Is really life-threatening?

Why they say that it is dangerous to take beta blockers only and before alpha blockers in pheochromocytoma treatment? Is really life-threatening?

Yes, dangerous: Hi. Non-selective beta-blockers (e.g., propranolol) block beta-2 receptors, which mediate arterial relaxation. Pheos secrete epi and norepi, which activate alpha-1 and beta receptors. If you block vasodilatory beta-2's, then the arteries will see unopposed alpha-1 stimulation, which can cause a hypertensive crisis and stroke, death, etc. Block alpha-1 receptors first! ...Read more

14

14
What are the possible treatments for pheochromocytoma and metastatic pheochromocytoma?

What are the possible treatments for pheochromocytoma and metastatic pheochromocytoma?

Many: A single area of pheochromocytoma can be removed surgically. Metastatic pheochromocytoma does not respond well to chemotherapy. Oral "targeted" therapies (one called sunitinib) are more effective. Some metastatic pheochromocytomas can be treated with a targeted injected form of radiation if the tumor expresses the target. Clinical trials are a good option for this tumor: www.Cancer.Gov. ...Read more

See 1 more doctor answer
15

15
What ?Will cure malignant pheochromocytoma?

Surgery: Hopefully it can be diagnosed before it has spread, most are diagnosed by a good history and physical exam that may show difficult to control HTN , ct scan which shows an adrenal mass, and blood and/ or urine studies to confirm the diagnoses. These adrenal tumors can be removed by either the laparoscopic or open surgery approach. ...Read more

16

16
What's the best treatment to get rid of pheochromocytoma?

What's the best treatment to get rid of pheochromocytoma?

Surgery: A pheochromocytoma is a tumor that secretes excessive adrenal hormones, causing life-threatening spikes in blood pressure. Symptoms include sweating, palpitations, headaches, nausea and rapid increases in blood pressure. The definitive treatment is to remove the tumor, typically along with the adrenal gland in which it is growing. ...Read more

See 1 more doctor answer
17

17
I have pheochromocytoma and addisons, and i want to take drugs again. What should I do?

Talk to your doctor.: Those are both serious conditions. You should talk to your doctor before taking anything. You should probably see an endocrinologist. ...Read more

See 1 more doctor answer
18

18
Is pheochromocytoma inherited or spontaneous?

Is pheochromocytoma inherited or spontaneous?

Kinda both...: Pheochromocytoma(or a fancy way to say an adrenal tumor) may follow a genetic predisposition in some patients; but in others may be random...Or 'spontaneous' as you phrase it. ...Read more

See 3 more doctor answers
19

19
How long after a CT scan with ionic contrast is a person with suspected pheochromocytoma at risk of hypertensive crisis?

How long after a CT scan with ionic contrast is a person with suspected pheochromocytoma at risk of hypertensive crisis?

Ionic, really?: Ionic intravenous contrast has been replaced by nonionic contrast. Nonionic contrast is safe to use in patients with or suspected of having pheochromocytoma or paraganglioma. The risk of hypertensive crisis due to ionic contrast should not last longer a few hours, but i could not find a reference to confirm this. ...Read more

See 1 more doctor answer
20

20
What meds should I avoid taking having pheochromocytoma ?

Pheochromocytoma: This is a deadly disease and I specialize in it and happy to help you and team get it right by doing a 2nd opinion. Don't mess with it. ...Read more

See 3 more doctor answers
21

21
What are the symptoms of pheochromocytomas?

Blood pressure: Symptoms of pheochromocytoma may be very hard to control high blood pressure, may have intermittent spikes in high blood pressure, fast heart rate, sweating, intermittent severe headaches. It is an abnormal growth of the adrenal gland, and identified by blood tests for certain hormone level & can be seen on ct scan. ...Read more

22

22
What is pheochromocytoma? 

Adrenal tumor: The classic triad presentation is headache, sweating and fast heart rate. Hypertension is the most common presentation. Not uncommonly the high blood pressure and high heart rate come in waves. May not be sustained, sometimes referred to as paroxsymal. Hope this helps. ...Read more

See 1 more doctor answer
23

23
What is a pheochromocytoma like?

See below: Pheochromocytoma is a tumor of the adrenal gland. These tumors release chemicals called catecholamines which can cause high blood pressure, headaches, sweating and palpitations and rapid heart beat. The condition sometimes runs in families. The tumor can be diagnosed with urine measurements of the catecholamines. Most tumors are benign and are cured by surgical removal. ...Read more

See 1 more doctor answer
24

24
How is pheochromocytoma treated? 

Surgery: Remove it. Phentolamine and Phenoxybenzamine are medications that are often used preoperatively to temporarily control symptoms before it's resected. ...Read more

See 2 more doctor answers
25

25
Where are pheochromocytoma found?

Adrenal gland: This is associated with a mass or hyperplasia of the adrenal gland with elevation of your norepinephrine levels. ...Read more

See 1 more doctor answer