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.
A tumor. Pheochromocytoma is a chatecholamine producing tumor. Catecholamines include Epinephrine and norepinephrine. The tumors are most often in the adrenal gland, but may be found in other tissues.
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.
Very rare. Pheos are very rare - about 1 in a million. They cause paroxysms of high blood pressure and rapid heart rate but sometimes cause sustained high blood pressure. Other symptoms are palpitations, nervousness and irritability, headache, sweating, weight loss. If you think you have one, you probably don't! blood and urine tests can confirm or exclude them.
Hyperthroidism. Paragangliomas, cushings syndrome and carcinoid tumor can also mimic pheochromocytoma. Please check with your doctor if urine/blood studies +/- imaging is needed.
Several. Hypertension renal diseases renal artery stenosis carcinoid essential hypertension.
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.
Removal. Making the diagnosis can be testy! Some are malignant and spread, then medications may prevail. But if possible, surgical removal is reasonable unless other high risk factors.
Pheochromocytoma. Surgery is the definitive treatment. Until the tumor is removed, control of blood pressure is a top priority. Controlling blood pressure before and during surgery is the trickiest part of care. The blood pressure is therefore closely monitored through the procedure. Consultat endocrionology. Phenoxybenzamine 10-14 days preoperatively to allow for expansion of blood volume is required.
Removal. In crisis, there are medications, but in the long run one needs to have the tumor removed. The good thing is that there are some really talented laparoscopists out there that can do this minimally invasively.
What other conditions resemble pheochromocytoma, which includes high hormone levels consistently for 6 months?
High catacholamines. PHEO is a relatively rare condition and there is overstimulation from euro endocrine glands a marked rise in your BP and pulse is a common initial finding. It requires a proper workup with an internist, renal and endo will also be involved. There are other disorders of abnormal catecholamine release but you need a good workup and treatment.
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.
Hormone release. Pheochromocytoma (PCC) is a rare tumor of adrenal gland tissue. When functional they cause adrenal glands to make too much norepinephrine and epinephrine. With hormone release there are usually has three classic symptoms, headache, sweating, and heart palpitations in association with hypertension. Other conditions that can arise are anxiety, nausea, profound sweating and severe headaches :
Multiple. Findings of tachycardia, elevated blood pressure, headache! Then flushing, chest pain, heart pain, torn aorta and more!! Medical emergency!