嗜铬细胞瘤20150529课件.pptVIP

Pheochromocytoma 0.01-0.1% of HTN population Found in 0.5% of those screened M = F 3rd to 5th decades of life Rare, investigate only if clinically suspicion: Signs or Symptoms Severe HTN, HTN crisis Refractory HTN ( 3 drugs) HTN present @ age 20 or 50 ? Adrenal lesion found on imaging (ex. Incidentaloma) Pheo: Signs Symptoms The five P’s: Pressure (HTN) 90% Pain (Headache) 80% Perspiration 71% Palpitation 64% Pallor 42% Paroxysms (the sixth P!) The Classical Triad: Pain (Headache), Perspiration, Palpitations Lack of all 3 virtually excluded diagnosis of pheo in a series of 21,0000 pati