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Feocromocitoma - Treatment

Nombres alternativos

Feocromocitomas; Paraganglionoma

Tratamiento:

El tratamiento consiste en la extirpación del tumor con cirugía. Antes de la intervención, es importante estabilizar la presión arterial y el pulso con medicamentos, y es posible que se requiera la hospitalización con vigilancia cuidadosa de los signos vitales.

Después de la cirugía, es necesario hacer un control continuo de todos los signos vitales en una unidad de cuidados intensivos. Cuando el tumor no se pueda extirpar quirúrgicamente, se necesitan medicamentos para manejarlo. Esto generalmente requiere una combinación de medicamentos para controlar los efectos del exceso de hormonas. La radioterapia y la quimioterapia no han sido efectivas para curar este tipo de tumor.

Expectativas (pronóstico):

La mayoría de los pacientes con tumores benignos que han sido extirpados por medio de cirugía todavía están vivos después de cinco años. Los tumores reaparecen en menos del 10% de estos pacientes. Los niveles de las hormonas norepinefrina y epinefrina retornan a la normalidad luego de la cirugía.

Complicaciones:

Es posible que en el 25% de los pacientes la hipertensión arterial no se alivie después de la cirugía, sin embargo, los tratamientos estándar generalmente pueden controlarla. El tumor puede retornar en aproximadamente el 10% de las personas.

Situaciones que requieren asistencia médica:

Consulte con el médico si:

  • Tiene síntomas de feocromocitoma.
  • Tuvo un feocromocitoma y los síntomas reaparecen.
  • Reviewed last on: 9/26/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Hande KR. Adrenal medulla, catecholamines, and pheochromocytoma. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 246.

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