D2I2.
endocrine

Pheochromocytoma

Pheochromocytoma is a rare tumor of the adrenal medulla composed of chromaffin cells and is a pharmacologically volatile, potentially lethal catecholamine-containing tumor of chromaffin . It is part of the paraganglioma (PGL). These neuroendocrine can be sympathetic, where they release catecholamines into the bloodstream which cause the most common symptoms, including , , sweating, and headaches. Some PGLs may secrete little to no catecholamines, or only secrete paroxysmally (episodically), and other than secretions, PGLs can still become clinically relevant through other secretions or mass effect. PGLs of the head and neck are typically parasympathetic and their sympathetic counterparts are predominantly located in the and , particularly concentrated at the organ of Zuckerkandl at the bifurcation of the aorta.

Underlined words are explained — tap any of them.

Symptoms — what it feels like

  • ·, , anxiety, sweating, headache, pallor

Causes — why it happens

  • ·80%

How it's found

  • ·Elevated free metanephrines, plasma catecholamines, catecholamines, MRI, PET Scan

Treatment

  • ·, , , medication

Complications

  • ·Hypertensive crisis
Plain-language summary adapted from Wikipedia. Not medical advice.