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Surgery for pheochromocytoma,is it risky?


Surgery for pheochromocytoma,is it risky?

Pheochromocytoma is a tumor of special cells (called chromaffin cells), most often found in the middle of the adrenal gland.

Description

Because pheochromocytomas arise from chromaffin cells, they are occasionally called chromaffin tumors. Most (90%) are benign tumors so they do not spread to other parts of the body. However, these tumors can cause many problems and if they are not treated and can result in death. However surgery in early stages can be done easily without running in any risk.

In any case surgery can not be avoided and it had to be done and the disease treated as CANCER IS STILL AN ENIGMA.

Treatment in all cases begins with surgical removal of the tumor. Before surgery, medications such as alpha-adrenergic blockers are given to block the effect of the hormones and normalize blood pressure. These medications are usually started seven to 10 days prior to surgery. The surgery of choice is laparoscopic laparotomy, which is a minimally invasive outpatient procedure performed under general or local anesthesia. A small incision is made in the abdomen, the laparoscope is inserted, and the tumor is removed. The patient can usually return to normal activities within two weeks. If a laparoscopic laparotomy cannot be done, a traditional laparotomy will be performed. This is a more invasive surgery done under spinal or general anesthesia and requires five to seven days in the hospital. Usually patients are able to return to normal activities after four weeks. After surgery, blood and urine tests will be done to make sure hormone levels return to normal. If the hormone levels are still above normal, it may mean that some tumor tissue was not removed. If not all tumor can be removed (as in malignant pheochromocytoma, for example) drugs will be given to control high blood pressure.-

It depends on the overall health of the patient. but in the hands of an experienced surgeon, it's not that risky.

As the reference in the first answer suggested, pre-op and peri-op medications are important.

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