Pediatric and adolescent pheochromocytoma: clinical presentation and outcome of surgery

Indian Pediatr. 2014 Apr;51(4):299-302. doi: 10.1007/s13312-014-0397-9.

Abstract

Objectives: To describe the clinical presentation and outcome of surgery in children with pheochromocytoma in a tertiary care hospital in India.

Methods: Clinical records of 24 children who were operated between January 1990 and January 2011 were reviewed. The diagnosis of familial disease was established based on clinical examination and follow-up events.

Results: Familial, bilateral, extra-adrenal and malignant pheochromocytoma were observed in 20.8%, 20.8%, 12.5% and 4.2% children, respectively. Median follow-up duration was 36 months. Persistent hypertension was noted in 12.5% patients and similar proportion died in follow-up.

Conclusions: In the absence of routine genetic screening, good history and long- term follow up are essential to rule out familial pheochromocytoma.

MeSH terms

  • Adolescent
  • Adrenal Gland Neoplasms* / diagnosis
  • Adrenal Gland Neoplasms* / epidemiology
  • Adrenal Gland Neoplasms* / surgery
  • Child
  • Female
  • Humans
  • Hypertension
  • Male
  • Pheochromocytoma* / diagnosis
  • Pheochromocytoma* / epidemiology
  • Pheochromocytoma* / surgery
  • Retrospective Studies