Pheochromocytoma (Adrenal Gland Tumor)
Description
Adrenal tumors that produce excessive hormones. The adrenal glands sit on top of the kidneys. They are responsible for producing a number of very important hormones including epinephrine and norepinephrine. Pheochromocytomas are adrenal tumors that produce excessive quantities of these hormones. These hormones cause a sudden rise in blood pressure and the other symptoms. These tumors are usually benign, and the disorder is usually seen in 30-50 year olds.
Symptoms
Severe headache, palpitations, rapid heart rate, sweating, flushing, chest pain, abdominal pain, nervousness, irritability, increased appetite, loss of weight.
Tests
A history and physical exam will be performed. Tests to establish the diagnosis include: adrenal biopsy, MIBG scintiscan, MRI, CT scan, 24 hour urine for metanephrine and catecholamines.
- CBC
- Chem 12
- EKG
- CT Scan
- MRI
Treatment
Surgery is the definitive treatment. Inoperable tumors require management with medication, especially important is control of the blood pressure. Radiation therapy or chemotherapy are not effective.
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