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Peochromocytoma Research Paper

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Pheochromocytoma is a term used to refer to rare and mostly benign catecholamine-secreting tumors arising from the chromaffin cells found in the adrenal medulla or in the paraganglia (i.e. extra-adrenal pheochromocytoma). Clinical presentation can be highly variable and can mimic other diseases, but the condition typically presents with hypertension, palpitations, severe headaches and sweating.

As an entity, pheochromocytoma was initially described in 1886 by Frankel, following the autopsy of an 18-year-old that girl died suddenly in collapse, while the first successful surgical removal of the tumor was described in 1926 by Roux. Its name was established in 1912 by Pick and derived from Greek words “phaios” (meaning dusky), “chroma” (meaning …show more content…

Even though pheochromocytoma may occur in any age, the peak incidence is observed between the third and the fifth decade of life, with 10% of them occurring in children.

Etiology of pheochromocytoma

Pheochromocytoma usually occur as sporadic tumors, hence about 90% of them are presenting as unicentric and unilateral single adenomas. The remaining 10% of them are inherited, usually as bilateral and multiple, sometimes also found extra-adrenal (with similar histopathological traits).

Nevertheless, more than half of apparently sporadic pheochromocytomas found in patients with 18 years of age or younger are a result of an isolated identifiable mutation in germline DNA; this percentage can reach as high as 70% in children younger than 10. Thus guided genetic testing and genetic counseling is imperative for children presenting with pheochromocytoma, regardless of the family history.

Inherited pheochromocytomas may be isolated (inherited as an autosomal dominant trait) or a component of hereditary tumor syndromes – primarily multiple endocrine neoplasia (MEN) 2A and 2B and von Hippel-Lindau (VHL) disease, the familial paraganglioma syndromes and, in rare instances, MEN 1, neurofibromatosis (NF) type 1 and the tuberous sclerosis

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