PHEOCHROMOCYTOMA (by Dr. Vaseem Zamair)
It is not adrenal gland tumor!!! But it is a tumor of Neuroendocrine cells called CHROMAFFIN CELLS present in medulla of adrenal gland (80%) and other ganglia of sympathetic nervous system,
and they secrete adrenaline (epinephrine), noradrenaline (norepinephrine), and enkephalin and enkephalin-containing peptides into the blood stream and to adjacent organs or tissue to produce sympathetic nervous system hyperactivity, where BP is persistent even after drug therapy.
Symptoms: Head ache, sweating, flushing, anxiety, nausea, palpitations, chest pain, weakness, epigastric pain, tremor…
OCCURS between 30 to 60 age (male:female, 1:1) and mostly patients are nervous, angry and even violent mentality. BELOW IS DIAGNOSIS sensitivity, so that you don’t miss it.
THE ONLY TREATMENT IS RESECTION THRU SURGERY but prior to surgery lowering and maintenance of blood pressure (2weeks), if tumor grows again after surgery, bad prognosis.