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Phaeochromocytoma Surgery Abroad

Hospitals and medical centers performing Phaeochromocytoma treatment.

Sourasky Medical Center

The Department of Endocrinology at the Tel Aviv Sourasky Medical Center specializes in the diagnosis and treatment of the whole range of endocrine and metabolic disorders, including benign and malignant tumors of the endocrine system, diabetes, obesity, hypertension and complications.

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Phaeochromocytoma Treatment

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Rambam Medical Center

The Department of Endocrinology comprises consulting clinics where patients are treated, laboratories for routine testing, and research laboratories. The most advanced technologies and techniques in the field are used in the treatments and tests carried out at the institute.

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Phaeochromocytoma Treatment

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Hospital Velmar

Welcome to our Private Hospital, where a friendly and courteous team of medical specialists with a wealth of scientific knowledge and ethical standards is committed to taking care of your healthcare needs. Our goal is to provide unmatched medical care by constantly innovating and investing in the tr

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Phaeochromocytoma Treatment

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Hospital Universitario de San Vicente Fundación

The Division of Nephrology and Eendocrinology provides care for kidney diseases, diseases caused by excessive or insufficient hormone actions, endocrine tumors, and hypertension, which is closely related to problems with both the kidneys and the endocrine system.

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Phaeochromocytoma Treatment

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Hospital Médica Sur

Prestigious destination that conducts first class medical procedures.

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Phaeochromocytoma Treatment

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Sevenhills Hospital

SevenHills Group of Hospitals (SHHL) has been delivering Healthcare services at the highest level, since past 25 years. SevenHills Hospital, Mumbai, is a world class integrated Healthcare Delivery System, that provides comprehensive Healthcare...

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Phaeochromocytoma Treatment

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Hospital San Jose TecSalud

A JCI accredited hospital, located 150 miles from the border with Texas, United States. The hospital is a full range tertiary care hospital, with five areas of excellence: Cardiology, Oncology, Neuroscience, Organ Transplant and Liver Disease.

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Phaeochromocytoma Treatment

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Endocrinology centers abroad (Page 1 of 1)

About Phaeochromocytoma Treatment

This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.


What is a pheochromocytoma?

Pheochromocytoma is a type of adrenal glands tumor that causes the release of high levels of epinephrine and norepinephrine.

Overview

Epinephrine, norepinephrine, and dopamine are secreted in the adrenal medulla and are referred to as catecholamines. They are also known as fight or flight hormones and are responsible for that feeling of a rush when in fear. These hormones control heart rate and metabolism. Pheochromocytomas may be large in size; however, most are smaller than 10 centimeters.


Signs and symptoms include:
  • Abdominal pain
  • Chest pain
  • Hand tremor
  • Localized amyloid deposits
  • High blood glucose levels
  • High blood pressure
  • Irritability, nervousness, and anxiety
  • Pallor
  • Rapid heart rate
  • Severe headache
  • Palpitations
  • Excessive sweating
  • Sleeping difficulty
  • Skin sensations
  • Weight loss

Diagnosis

If you suspect pheochromocytomas you should see your doctor who will then perform a physical exam on you and also ask questions. He/she may also order for some tests to be done to confirm the diagnosis. This include:

  • Abdominal CT scan
  • Abdominal MRI
  • MIBG scintiscan
  • Glucose test
  • Adrenal biopsy
  • Serum catecholamines (Catecholamines blood test)
  • Serum metanephrine (Metanephrine blood test)
  • Urine catecholamines
  • Urine metanephrines

Treatment

Pheochromocytomas are usually treated with surgery or medications. However, Chemotherapy and radiation therapy are not effective in treating pheochromocytomas.


Surgery

Pheochromocytoma is usually treated with surgery; either by open laparotomy or laparoscopy to remove the tumor. Your doctor will prescribe and administe certain medications before the surgery, to stabilize your pulse and blood pressure. This will be done in the hospital to enable the doctor to closely monitor your vital signs. After the surgery, you will be admitted to the intensive care unit (ICU) so that your doctor can continuously monitor your vital signs.It may be necessary for the surgeon to completely remove the affected adrenal glands; a procedure known as an adrenalectomy.

Because this surgical operation is complex and the risks of complications are high, it is highly advisable to have this surgery at medical centers that specialize in the management of this disorder. Such medical centers will have all the necessary resources readily available such as anesthesia and endocrine resources. The surgical option requires prior treatment with medications such as the non-specific and irreversible alpha-adrenoceptor blocker phenoxybenzamine or a short-acting alpha antagonist. This minimizes the likelihood of severe intraoperative hypertension which might occur as the surgery proceeds.

A patient with pheochromocytoma is usually volume depleted. This implies that blood volume is reduced due to an excessive fluid loss in the urine caused by almost total inhibition of renin-angiotensin activity. Therefore, once the pheochromocytoma has been resected, there is volume depletion and a very low sympathetic activity which can lead to profound hypotension. It is therefore, usually advised to ‘salt load’pheochromocytoma patients before their surgery. Your doctor will advise you to consume foods high in salt food pre-operatively. Direct salt replacement or the administration of intravenous saline solution are also methods that can be used to ‘salt load’.


Medications

In some cases, removing the tumor through surgery is not an option and the pheochromocytoma is managed with medications that are combined to control the effects of the excess hormones. It is important to know that pheochromocytoma has not been effectively treated with chemotherapy and radiotherapy.

Learn more about Phaeochromocytoma Treatment

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