Pheochromocytoma surgery

Jump to: navigation, search

Pheochromocytoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pheochromocytoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pheochromocytoma surgery On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pheochromocytoma surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pheochromocytoma surgery

CDC on Pheochromocytoma surgery

Pheochromocytoma surgery in the news

Blogs on Pheochromocytoma surgery</small>

Directions to Hospitals Treating Pheochromocytoma

Risk calculators and risk factors for Pheochromocytoma surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2] Mohammed Abdelwahed M.D[3]

Overview

Surgery is the mainstay of treatment for pheochromocytoma. Adrenalectomy, laparoscopic transabdominal and retroperitoneal approaches have been used successfully for non-metastatic abdominal pheochromocytomas. The patient should receive glucocorticoid coverage in bilateral adrenalectomy.

Surgery

  • Surgical resection of pheochromocytoma is the treatment of choice for benign localized tumor.
  • Patients with unilateral pheochromocytoma should undergo unilateral adrenalectomy, patients with bilateral pheochromocytomas or who develop pheochromocytoma in their remaining adrenal gland should undergo cortical-sparing adrenalectomy.[1] It may also be necessary to perform a complete surgical resection of the affected adrenal gland.

Adrenalectomy:

References

  1. Lee JE, Curley SA, Gagel RF, Evans DB, Hickey RC (1996). "Cortical-sparing adrenalectomy for patients with bilateral pheochromocytoma.". Surgery. 120 (6): 1064–70; discussion 1070–1. PMID 8957496. 
  2. Nehs MA, Ruan DT (2011). "Minimally invasive adrenal surgery: an update.". Curr Opin Endocrinol Diabetes Obes. 18 (3): 193–7. PMID 21494137. doi:10.1097/MED.0b013e32834693bf. 
  3. Rafat C, Zinzindohoue F, Hernigou A, Hignette C, Favier J, Tenenbaum F; et al. (2014). "Peritoneal implantation of pheochromocytoma following tumor capsule rupture during surgery.". J Clin Endocrinol Metab. 99 (12): E2681–5. PMID 25188716. doi:10.1210/jc.2014-1975. 
  4. Flávio Rocha M, Faramarzi-Roques R, Tauzin-Fin P, Vallee V, Leitao de Vasconcelos PR, Ballanger P (2004). "Laparoscopic surgery for pheochromocytoma.". Eur Urol. 45 (2): 226–32. PMID 14734011. 

Linked-in.jpg