[Pheochromocytoma: a review of our own cases]. 1996

J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
Servicio de Urología, Hospital General Universitario, Valencia.

Presentation of 6 cases of pheochromocytoma, diagnosed and treated in our Unit over the last 5 years. Five were adrenal pheochromocytomas and 1 an abdominal paraganglioma in a 42 year-old woman. Distribution by gender was 4 male and 2 female, and mean age at presentation was 45.2 years ranging from 35 to 55 years. Clinically, all patients were hypertensive. Two of the 5 cases with adrenal location presented with catecholaminic crisis with BP > 240/140 mmHg. The paraganglioma was diagnosed while studying a case of sustained HBP in a 42 year-old female referred from another unit. With regard to diagnosis, the sensitivity of urinary tests was 100%, and gammagraphy with meta-iodine-benzyl-guanidine (MIBG) was particularly useful in the extra-adrenal location case. In all our patients, computerized tomography (CT) was the choice procedure to locate the tumour. Treatment was surgical in all cases, access being transperitoneal in 3 cases, thoracoabdominal in 2 and classic lumbotomy in 1. All our patients received prior treatment with alpha-blocking agents, and intraoperative complications were 1 arrythmic crisis, 1 hypotensive picture and 1 hypertensive crisis, all of which resolved successfully. Currently, 5 patients remain disease free. Mild HBP controlled with low dose captopril still persists in one patient.

UI MeSH Term Description Entries
D008279 Magnetic Resonance Imaging Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques. Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010673 Pheochromocytoma A usually benign, well-encapsulated, lobular, vascular tumor of chromaffin tissue of the ADRENAL MEDULLA or sympathetic paraganglia. The cardinal symptom, reflecting the increased secretion of EPINEPHRINE and NOREPINEPHRINE, is HYPERTENSION, which may be persistent or intermittent. During severe attacks, there may be HEADACHE; SWEATING, palpitation, apprehension, TREMOR; PALLOR or FLUSHING of the face, NAUSEA and VOMITING, pain in the CHEST and ABDOMEN, and paresthesias of the extremities. The incidence of malignancy is as low as 5% but the pathologic distinction between benign and malignant pheochromocytomas is not clear. (Dorland, 27th ed; DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p1298) Pheochromocytoma, Extra-Adrenal,Extra-Adrenal Pheochromocytoma,Extra-Adrenal Pheochromocytomas,Pheochromocytoma, Extra Adrenal,Pheochromocytomas,Pheochromocytomas, Extra-Adrenal
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000310 Adrenal Gland Neoplasms Tumors or cancer of the ADRENAL GLANDS. Adrenal Cancer,Adrenal Gland Cancer,Adrenal Neoplasm,Cancer of the Adrenal Gland,Neoplasms, Adrenal Gland,Adrenal Cancers,Adrenal Gland Cancers,Adrenal Gland Neoplasm,Adrenal Neoplasms,Cancer, Adrenal,Cancer, Adrenal Gland,Cancers, Adrenal,Cancers, Adrenal Gland,Neoplasm, Adrenal,Neoplasm, Adrenal Gland,Neoplasms, Adrenal
D000311 Adrenal Glands A pair of glands located at the cranial pole of each of the two KIDNEYS. Each adrenal gland is composed of two distinct endocrine tissues with separate embryonic origins, the ADRENAL CORTEX producing STEROIDS and the ADRENAL MEDULLA producing NEUROTRANSMITTERS. Adrenal Gland,Gland, Adrenal,Glands, Adrenal
D000315 Adrenalectomy Excision of one or both adrenal glands. (From Dorland, 28th ed) Adrenalectomies

Related Publications

J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
December 1993, Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS,
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
February 1960, Archives of surgery (Chicago, Ill. : 1960),
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
July 1970, Orvosi hetilap,
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
January 2001, Aesthetic plastic surgery,
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
January 1991, Revue de laryngologie - otologie - rhinologie,
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
December 2007, Acta orthopaedica,
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
July 1968, American journal of surgery,
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
August 2010, Kekkaku : [Tuberculosis],
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
November 1875, Hall's journal of health,
J E Blasco Alfonso, and C Donderis Guastavino, and Y Pallas Costa, and L Vernich Talens, and P Navalón Verdejo, and F J Eres Saez, and F J Ramada Benlloch, and J Zaragoza Orts
June 1985, Human pathology,
Copied contents to your clipboard!