Pheochromocytoma secondary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pheochromocytoma}} | {{Pheochromocytoma}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{MAD}} | ||
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==Overview== | ==Overview== | ||
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==Secondary Prevention== | ==Secondary Prevention== | ||
* Preoperative treatment of pheochromocytoma is the best way to reduce complications and improve morbidity by controlling hypertension during surgery and [[hypotension]] after it. | * Preoperative treatment of pheochromocytoma is the best way to reduce complications and improve morbidity by controlling hypertension during surgery and [[hypotension]] after it. | ||
All patients with pheochromoctoma need postoperative follow up: | *All patients with pheochromoctoma need postoperative follow up: | ||
* Patients should undergo baseline postoperative biochemical testing and annual lifelong tests.<ref name="pmid15080378">{{cite journal| author=Omura M, Saito J, Yamaguchi K, Kakuta Y, Nishikawa T| title=Prospective study on the prevalence of secondary hypertension among hypertensive patients visiting a general outpatient clinic in Japan. | journal=Hypertens Res | year= 2004 | volume= 27 | issue= 3 | pages= 193-202 | pmid=15080378 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15080378 }}</ref> | **Patients should undergo baseline postoperative biochemical testing and annual lifelong tests.<ref name="pmid15080378">{{cite journal| author=Omura M, Saito J, Yamaguchi K, Kakuta Y, Nishikawa T| title=Prospective study on the prevalence of secondary hypertension among hypertensive patients visiting a general outpatient clinic in Japan. | journal=Hypertens Res | year= 2004 | volume= 27 | issue= 3 | pages= 193-202 | pmid=15080378 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15080378 }}</ref> | ||
* Noncatecholamine-producing tumor should undergo annual imaging with CT or MRI to monitor for recurrence.<ref name="pmid150803782">{{cite journal| author=Omura M, Saito J, Yamaguchi K, Kakuta Y, Nishikawa T| title=Prospective study on the prevalence of secondary hypertension among hypertensive patients visiting a general outpatient clinic in Japan. | journal=Hypertens Res | year= 2004 | volume= 27 | issue= 3 | pages= 193-202 | pmid=15080378 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15080378 }}</ref> | **Noncatecholamine-producing tumor should undergo annual imaging with CT or MRI to monitor for recurrence.<ref name="pmid150803782">{{cite journal| author=Omura M, Saito J, Yamaguchi K, Kakuta Y, Nishikawa T| title=Prospective study on the prevalence of secondary hypertension among hypertensive patients visiting a general outpatient clinic in Japan. | journal=Hypertens Res | year= 2004 | volume= 27 | issue= 3 | pages= 193-202 | pmid=15080378 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15080378 }}</ref> | ||
Genetic testing should be performed in:<sup>[[Pheochromocytoma screening#cite note-pmid24893135-2|[2]]]</sup> | |||
* Patients with a family history of pheochromocytoma | **Patients with a family history of pheochromocytoma | ||
* Bilateral or multifocal lesions | **Bilateral or multifocal lesions | ||
* Tumors or malignant or extra-adrenal pheochromocytoma | **Tumors or malignant or extra-adrenal pheochromocytoma | ||
* Young patients who are aged 50 years or under | **Young patients who are aged 50 years or under | ||
==References== | ==References== | ||
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[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
Revision as of 19:02, 10 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
Overview
Secondary Prevention
- Preoperative treatment of pheochromocytoma is the best way to reduce complications and improve morbidity by controlling hypertension during surgery and hypotension after it.
- All patients with pheochromoctoma need postoperative follow up:
Genetic testing should be performed in:[2]
- Patients with a family history of pheochromocytoma
- Bilateral or multifocal lesions
- Tumors or malignant or extra-adrenal pheochromocytoma
- Young patients who are aged 50 years or under
References
- ↑ Omura M, Saito J, Yamaguchi K, Kakuta Y, Nishikawa T (2004). "Prospective study on the prevalence of secondary hypertension among hypertensive patients visiting a general outpatient clinic in Japan". Hypertens Res. 27 (3): 193–202. PMID 15080378.
- ↑ Omura M, Saito J, Yamaguchi K, Kakuta Y, Nishikawa T (2004). "Prospective study on the prevalence of secondary hypertension among hypertensive patients visiting a general outpatient clinic in Japan". Hypertens Res. 27 (3): 193–202. PMID 15080378.