Can malignant pheochromocytoma be cured?

Written by Gan Jun
Endocrinology
Updated on January 07, 2025
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When pheochromocytoma becomes malignant, it can be cured through clinical approaches, although malignant pheochromocytoma mainly refers to those that have distant metastases. It primarily exhibits aggressive growth or is accompanied by metastases to other organs, and surgery cannot completely remove it, leading to a high recurrence rate post-surgery. Generally, the five-year survival rate for patients with malignant pheochromocytoma does not exceed half.

If treated with chemotherapy or arterial embolization, it can control the patient's blood pressure and alleviate the tumor burden, thereby extending the survival period.

In summary, the treatment of malignant pheochromocytoma is relatively challenging, has a high recurrence rate, and poses a significant threat to human life.

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Written by Chen Yu Fei
Neurosurgery
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Causes of hypotension in pheochromocytoma

For cases of hypotension occurring in pheochromocytoma, it is most commonly seen after the surgical removal of the tumor. At this point, the concentration of catecholamines in the blood may significantly decrease, leading to a marked reduction in effective circulating blood volume, and thus causing hypotension. This situation is relatively common after surgery for pheochromocytoma. Usually, after surgical treatment and removal of the tumor, it is important to promptly discontinue the use of receptor blockers in patients and to appropriately replenish blood volume to effectively maintain central venous pressure. This approach can generally counteract the reduction in catecholamine levels caused by surgery, which leads to hypotension.

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Written by Gao Yi Shen
Neurosurgery
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What department does pheochromocytoma see?

Pheochromocytomas generally require a visit to urology for treatment. Initially, they mostly present with symptoms of hypertension, leading many to first visit cardiology. After differential diagnoses have ruled out other causes and confirmed pheochromocytoma, patients must then seek treatment from urology. Pheochromocytomas are generally located in the adrenal glands, hence they require surgical removal by a urologist. It is crucial to strictly control blood pressure during surgery, as fluctuations can be severe and significantly impact the patient's physical and mental health. Therefore, if a pheochromocytoma is detected, it is critical to seek timely medical treatment for a relatively better prognosis.

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Written by Gan Jun
Endocrinology
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Is it okay not to remove a pheochromocytoma?

For patients diagnosed with pheochromocytoma, it is recommended that surgical removal is the best option. Pheochromocytoma, also known as an adrenal medullary tumor, originates from the sympathetic ganglia in the adrenal medulla and other related chromaffin tissues. This type of disease can secrete large amounts of catecholamines, causing episodic or persistent hypertension, as well as other related metabolic disorder syndromes. It often presents as potentially fatal hypertension, accompanied by potentially fatal hypotension or even shock, leading to symptoms such as increased heart rate, palpitations, and fear. Patients with pheochromocytoma are advised to undergo timely surgical treatment, as general drug treatments are unable to control or cure the condition.

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Written by Gan Jun
Endocrinology
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What size of pheochromocytoma is malignant?

The size of pheochromocytomas and the benign or malignant nature of the tumor are not greatly related. Usually, most are familial pheochromocytomas, which are most commonly bilateral, but they have a relatively high recurrence rate and are difficult to treat with fewer available treatment options. Once a pheochromocytoma is detected, it should be taken seriously and treated promptly. The presence of a tumor often indicates that it has developed to the mid and late stages, where it becomes relatively difficult to cure. Regardless of whether the tumor is large or small, it must be taken seriously and treated with care, otherwise, it may easily worsen and affect health.

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Written by Chen Yu Fei
Neurosurgery
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Pheochromocytoma blood pressure how much

For patients with pheochromocytoma, they often present with a hypermetabolic state, elevated blood pressure, even reaching above 200 mmHg, along with significant hypertension and hyperglycemia. Patients may experience headaches, dizziness, nausea, vomiting, profuse sweating, and even chest pain and labored breathing. When such symptoms occur, it is important to promptly take the patient to a local hospital for medical attention. Appropriate tests should be conducted to help confirm the diagnosis and determine the specific location of the pheochromocytoma. Treatment typically involves surgical intervention, but it is essential to manage blood pressure with appropriate antihypertensive drugs before, during, and after treatment.