Feocromocitoma

Question 1

Que producen las céulas (cromafinas) de los feocromocitomas

Answer 1

Catecolaminas

Question 2

Mutaciones genéticas relacionadas a feocromocitoma (25%)

Answer 2

MEN1 y MEN2
VHL: supresor de tumor
NF1: supresor de tumor

Question 3

CC feocromocitomas

Answer 3

Hipertensión
Paroxisticos: Cefalea, diaforesis, palpitaciones, taquicardia, palidez, dolor abdominal, ansiedad
Perdida peso
Hiperglicemia

*5 most important Problems (5 P’s) of Pheochromocytoma: increased blood Pressure, head Pain (headache), Perspiration, Palpitations, and Pallor

Question 4

Dx feocromocitoma

Answer 4

Altos catecolaminas
Metanefrina en orina (metabolito de epi)
CT, ultrasonido (tumor)

Question 5

Tx feocromocitoma

Answer 5

Alfa bloqueador primero luego beta bloqueador

Cirugía

Question 6

Nemotecnia o lo que sea que signifique “MAry P. sang “superCALi-fragilistic-EXpiali-DOcious” to the children 10 times”

Answer 6

10% of pheochromocytomas are MAlignant; 10% show CALcifications; 10% are EXtrarenal; 10% are DUal sided, i.e., bilateral; and 10% affect children.