Pheochromocytoma
From Wikipedia, the free encyclopedia
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| Medulla visible at bottom right. | |
| ICD-10 | C74.1 |
| ICD-9 | 255.6 |
| ICD-O: | M8700/0 |
| OMIM | 171300 |
| DiseasesDB | 9912 |
| eMedicine | med/1816 radio/552 ped/1788 |
| MeSH | D010673 |
A pheochromocytoma is a neuroendocrine tumor of the medulla of the adrenal glands originating in the chromaffin cells, which secretes excessive amounts of catecholamines, usually adrenaline and noradrenaline (epinephrine and norepinephrine in the US). Extra-adrenal paragangliomas (often described as extra-adrenal pheochromocytomas) are closely related, though less common, tumors that originate in the ganglia of the sympathetic nervous system and are named based upon the primary anatomical site of origin.
Traditionally it is known as the "10% tumor":
- bilateral disease is present in approximately 10% of patients
- approximately 10% of tumours are malignant
- approximately 10% are located in cromaffin tissue outside of the adrenal gland
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[edit] Inheritance
Up to 25% of pheochromocytomas may be familial. Mutations of the genes VHL, RET, NF1, SDHB and SDHD are all known to cause familial pheochromocytoma/extra-adrenal paraganglioma.
[edit] Features
The signs and symptoms of a pheochromocytoma are those of sympathetic nervous system hyperactivity, which can generally be described as those of "impending doom", including:
- Elevated heart rate
- Elevated blood pressure; a clue to the presence of phechromocytoma is orthostatic hypotension, a fall in systolic blood pressure greater than 10 mmHg on making the patient stand
- Palpitations
- Anxiety often resembling that of a panic attack
- Diaphoresis
- Headaches
- Pallor
A pheochromocytoma can also cause resistant arterial hypertension. A pheochromocytoma can be fatal if it causes malignant hypertension, or severely high blood pressure.
[edit] Diagnosis
The diagnosis can be established by measuring catecholamines and metanephrines in plasma or through a 24-hour urine collection. Care should be taken to rule out other causes of adrenergic (adrenalin-like) excess like hypoglycemia, stress, exercise, and drugs affecting the catecholamines like methyldopa, dopamine agonists, or ganglion blocking antihypertensives. Various foodstuffs (e.g. vanilla ice cream) can also affect the levels of urinary metanephrine and VMA (vanillyl mandelic acid). Imaging by computed tomography or a T2 weighted MRI of the head, neck, and chest, and abdomen can help localize the tumor. Tumors can also be located using Iodine-131 meta-iodobenzylguanidine (I131 MIBG) imaging. One diagnostic test used in the past for a pheochromocytoma is to administer clonidine (Catapres®), a centrally-acting alpha-2 agonist used to treat high blood pressure. Clonidine mimics catecholamines in the brain, causing it to reduce the activity of the sympathetic nerves controlling the adrenal medulla. A healthy adrenal medulla will respond to clonidine by reducing catecholamine production; the lack of a response is evidence of pheochromocytoma. Another test is for the clinician to press gently on the adrenal gland. A pheochromocytoma will often release a burst of catecholamines, with the associated signs and symptoms quickly following. This method is NOT recommended
Pheochromocytomas occur most often during young-adult to mid-adult life. Less than 10% of pheochromocytomas are malignant (cancerous), bilateral or pediatric.
These tumors can form a pattern with other endocrine gland cancers which is labeled multiple endocrine neoplasia (MEN). Pheochromocytoma may occur in patients with MEN 2 and MEN 3. VHL (Von Hippel Lindau) patients may also develop these tumors.
[edit] Differential diagnosis
The differential diagnosis of pheochromocytoma includes:
- Anxiety disorders
- Carcinoid tumor
- Paragangliomas
- Essential hypertension
- Hyperthyroidism
- Insulinoma
- Paroxysmal supraventricular tachycardia
- Renovascular hypertension
[edit] Treatment
Surgical resection of the tumor is the treatment of first choice. Given the complexity of perioperative management, and the potential for catastrophic intra and postoperative complications, such surgery should be performed only at centers experienced in the area. In addition to the surgical expertise that such centers can provide, they will also have the necessary endocrine and anesthesia resources as well. It may also be nescessary to carry out Adrenalectomy, a complete surgical removal of the affected adrenal gland(s).
Either surgical option requires prior treatment with both the non-specific alpha adrenoceptor blocker Phenoxybenzamine to counteract hypertension and the beta-1 adrenoceptor antagonist Atenolol to reduce cardiac ouput. Given before surgery, these can also block the effect of a sudden release of adrenaline during tumour removal, which would otherwise endanger the anaethetised patient.
