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.
MANAGEMENT:
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.
ilmgiver 
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