Medical management of pheochromocytoma: Role of the endocrinologist

Abstract

Pheochromocytoma is a rare tumor arising from chromaffin cells in adrenal medulla or other paraganglia in the body, which may be associated with many genetic syndromes and mutation. The role of endocrinologist is in biochemical diagnosis of suspected cases; its anatomic and functional localization with the help of imaging like CT, MRI, and nuclear scanning; preoperative control of hypertension; and postoperative follow-up of cases that have undergone surgical resection. Familial and genetic screening of cases and their family is important to detect occult cases. Endocrinologist will also play a role in cases with malignant pheochromocytoma in assessment of metastasis, control, chemoradiotherapy, and follow-up.

Study of awareness of adrenal disorders among interns and postgraduate students of Hamidia Hospital, Bhopal

“…The trend of awareness, diagnosis, and management of adrenal disorders followed the same pattern as the responses given above. [2] Similar issues are addressed in an editorial by Bajaj et al . [14]…”

“…It includes various disorders in the form of adrenal insufficiency, Cushing syndrome (CS), secondary hypertension (pheochromocytoma and Conn's syndrome), and congenital adrenal hyperplasia (CAH) which are treatable and have avoidable morbidity and mortality. [12345] In India, diseases affecting the adrenal glands are an example of environmentally induced endocrine diseases. Hence, infection is the most common cause of adrenal insufficiency in India.…”

Endocrine tumours in equids

“…Whether other provocative stimuli (constipation), drugs such as corticosteroids or anaesthesia induction can precipitate a life‐threatening adrenergic crisis as observed in humans is still unknown (Garg et al . ).…”

“…In human medicine, surgery is the treatment of choice, although mortality rates can be high if the patient is not properly prepared with specific medical treatment (Garg et al . ). Drugs used include α‐adrenoreceptor blockers (e.g.…”

Scientometric analysis of endocrinology research from India

“…The diseases of these organs are in specialized domain and require the expertise of the endocrinologist in their approach and management. [11] Hence, the research activity is also increasing in these subspecialties of the endocrinology. The declining contributions from the endocrinology community in diabetes and thyroid disorders could be due to physicians carrying research activity in these disorders without involving the endocrinologists.…”