Pheochromocytomas are rare neuroendocrine tumors with a highly variable clinical presentation, but they most commonly present as spells of headaches, sweating, palpitations, and hypertension. Patients with pheochromocytoma may develop complicated and potentially lethal cardiovascular and other complications, especially in the setting of diagnostic or interventional procedures (e.g. upon induction of anesthesia or during surgery.
Karel Pacak Preoperative Management of the Pheochromocytoma Patient The Journal of clinical endocrinology and metabolism 92 (11) , pp. 4069–4079 2013/07/2/
to ensure ideal preoperative preparation of patients with pheochromocytoma, very close communication between the endocrine, surgical, medical, cardiology, pediatric, oncology, radiology, and anesthesia teams is essential. Such teamwork should be directed to meet the three most essential goals: treat hypertension and tachyarrhythmias, restore the vascular volume, and treat any tumor or catecholamine excess-associated medical problems