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Phaeochromocytoma Treatment in Spain

Hospitals and medical centers in Spain performing Phaeochromocytoma treatment.
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Vithas Xanit International Hospital

Xanit Hospital Internacional is a modern private hospital located in the suburbs of Malaga, Spain. The hospital is modern (opened in 2005), and the staff include over 200 specialists in all medical specialties.

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Phaeochromocytoma Treatment

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HM Hospitales

HM Hospitales is a hospital group with six private hospitals in Madrid: three general hospitals, a cardiovascular hospital, an oncological center and a women's health hospital.

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Phaeochromocytoma Treatment

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Grupo Hospitalario Quirón

Quirón has an internationally prestigious medical staff, the largest in the sector, and is also the principal hospital network in terms of patient numbers and care facility area. The group administers 38 healthcare centers, more than 2,864 hospital beds and 7,500 associate doctors.

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Phaeochromocytoma Treatment

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Hospital General de Catalunya

idcsalud Hospital General de Catalunya provides medical services in over 25 specialties, being one of the most technologically advanced hospitals in Europe, with an excellent medical care capacity to carry out complex surgeries and medical conditions.

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Phaeochromocytoma Treatment

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Nisa Pardo de Aravaca Hospital

A modern (opened in 2007), general, private hospital located in Madrid, part of the NISA group of hospitals. The international patients department can assist patients with accomodation and trasportation, and can communicate in English as well as in Spanish.

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Phaeochromocytoma Treatment

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Hospital Ruber Internacional

The Ruber International Hospital is designed as a "whole hospital". thus achieving maximum efficiency in the organization and development of the various medical, welfare, educational and research activities.

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Phaeochromocytoma Treatment

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Quirón Madrid University Hospital

An ISO certified modern private hospital, which was opened in 2006, and is part of the Quirón Hospital Group. This tertiary care hospital 400 has certified physicians from all medical specialties capable of treating the most complicated medical cases.

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Phaeochromocytoma Treatment

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Hospital Quirón Valencia

Quirón Hospital of Valencia is ranked as one of the best private schools in Spain, winning nine times in the TOP 20 award in recognition of its management and quality of care.

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Phaeochromocytoma Treatment

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Hospital Quirón Torrevieja

Hospital Quirón Torrevieja is an ISO-certified private hospital located in the north of Torrevieja, championing excellence in cancer treatment and management.

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Phaeochromocytoma Treatment

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Endocrinology centers in Spain (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.

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