緩和ケアと医学

抽象的な

Pheochromocytoma in Primary Care

Wael Karameh

Pheochromocytomas/Paragangliomas are rare tumors arising from chromaffin cells of the adrenal medulla or sympathetic ganglia. The clinical suspicion is mainly based on the signs and symptoms in relation to excess circulating catecholamines including sweating, palpitation, high blood pressure, and headache. After clinical suspicion, biochemical confirmation and radio-logical localization are essential to diagnosis. Treatment is surgical after adequate pharmacological preparation. All patients should do genetic testing. The family physician has an important role in diagnosing these rare tumors. The chain of good health care from family physician to endocrinologist to surgeon is the cornerstone of successful diagnosis and management. Here, we report a case of right adrenal pheochromocytoma and review the related literature.