Pheochromocytoma secondary prevention: Difference between revisions
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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:<ref name="pmid15644401">{{cite journal| author=Amar L, Servais A, Gimenez-Roqueplo AP, Zinzindohoue F, Chatellier G, Plouin PF| title=Year of diagnosis, features at presentation, and risk of recurrence in patients with pheochromocytoma or secreting paraganglioma. | journal=J Clin Endocrinol Metab | year= 2005 | volume= 90 | issue= 4 | pages= 2110-6 | pmid=15644401 | doi=10.1210/jc.2004-1398 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15644401 }}</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> | **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> | ||
Revision as of 19:11, 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:[1]
- 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
- ↑ Amar L, Servais A, Gimenez-Roqueplo AP, Zinzindohoue F, Chatellier G, Plouin PF (2005). "Year of diagnosis, features at presentation, and risk of recurrence in patients with pheochromocytoma or secreting paraganglioma". J Clin Endocrinol Metab. 90 (4): 2110–6. doi:10.1210/jc.2004-1398. PMID 15644401.
- ↑ 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.