Mateo de Acosta ADm, Marín RNM

Idioma: Español
Referencias bibliográficas: 46
Paginas: 170-181
Archivo PDF: 703.25 Kb.

RESUMEN

El feocromocitoma es un tumor secretor de catecolaminas originalmente descrito en la médula suprarrenal y más adelante encontrado también en la cadena simpática periaórtica. En la actualidad se han descrito diferentes localizaciones extraadrenales como la endobronquial, en las vías aéreas superiores y en el corazón. En este trabajo revisaremos las principales manifestaciones clínicas, procedimientos diagn ósticos, imagenológicos y de laboratorio, así como las principales estrategias terapéuticas. Trataremos más a fondo el manejo quirúrgico de esta entidad, según el carácter maligno o benigno del tumor así como su tamaño, localización y otras características que influyen en su pronóstico.
Finalmente analizaremos la encrucijada internacional sobre si se debe manejar por laparoscopia el feocromocitoma, independientemente de su malignidad, resumiremos las principales indicaciones y contraindicaciones para su manejo laparoscópico.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Guazzoni G, Montorsi F, Bergamaschi F et al. Effectiveness and safety of laparoscopic adrenalectomy. J Urol 1994; 152(5 Pt 1): 1375-1378.

2. Wells SA, Merke DP, Cutler GB Jr, Norton JA, Lacroix A. Therapeutic controversy: The role of laparoscopic surgery in adrenal disease. Five-year experience with laparoscopic adrenalectomy at Hotel-Dieu in Montreal. J Clin Endocrinol Metab 1998; 83: 3041-3049.

3. Shusterman N, Elliot W, White W. Fenoldopam, but not nitroprusside, improves renal function in severely hypertensive patients with impared renal function. Am J Med 1993; 95; 161-8.

4. Fenoldopan-A new drug for parenteral treatment of severe hypertension. The Medical Letter 1998; 40: 57-8.

5. Gomi T, Ikeda T, Sakurai J, Toya Y, Tani M. Cardiac pheochromocytoma: a case report and review of the literature. Am Heart J 1994; 35: 117-24.

6. Guazzoni G, Montorsi F, Bocciardi A et al. Transperitoneal laparoscopic versus open adrenalectomy for benign hyperfunctioning adrenal tumors: a comparative study. J Urol 1995; 153: 1597-1600.

7. Mandak JS, Benoit CH, Starkey RH, Nassef LA Jr et al. Echocardiography in the evaluation of cardiac pheochromocytoma. Am Heart J 1996; 5: 1063-1067.

8. Bodmann K, Troster S, Clemens R. Hemodynamic profile of intravenous fenoldopam in patients with hypertensive crisis. Clin Investig 1993; 72-60.

9. Ono Y, Katoh N, Kinukawa T et al. Laparoscopic nephrectomy, radical nephrectomy and adrenalectomy: Nagoya experience. J Urol 1994; 152(6 Pt 1): 1962-1966.

10. Rassweiler JJ, Henkel TO, Potempa DM et al. The technique of transperitoneal laparoscopic nephrectomy, adrenalectomy and nephroureterectomy. Eur Urol 1993; 23: 425-430.

11. Neumann HPH, Bender BU, Reincke M et al. Adrenal sparing surgery for pheochromocytoma. Brit J Surg 1998; 86: 94-97.

12. Gagner M. Laparoscopic adrenalectomy lessons learned from 100 consecutive procedures. Discussion. Ann Surg 1997; 226(3): 238-46; 246-7.

13. Sunder S, Asok D, Shapiro JL, Arroliga AC, Metha AC. Thoracic involvement with pheochromocytoma. A Review. Chest 1999; 115: 2.

14. De Leeuw PW, Waltman FL, Birkenhager WH. Non-cardiogenic pulmonary edema as a sole manifestation of pheochromocytoma. Hypertension 1986; 8: 810-812.

15. O’Hickey S, Hilton AM, Whittaker JS. Pheochromocytoma associated with adult respiratory distress syndrome. Thorax 1987; 42: 157-158.

16. Sloand EM, Thompson BT. Propranolol induced pulmonary edema and shock in a patient with pheochromocytoma. Arch Intern Med 1984; 144: 173-174.

17. De Jong RS, Van den Bergen, Boender CA et al. Extra-adrenal pheochromocytoma presenting as fulminant malignant disease with positive sputum cytology. J Intern Med 1991; 230: 355-359.

18. Aguilo F, Tamayo N, Vazquez-Quintana E, Rabell V, Haddock L, Allende M et al. Pheochromocytoma: a twenty year experience at the University Hospital. Puerto Rico Health Sci J 1991; 10: 135-142.

19. Cooper ZA, Mihm FG et al. Case Report: Blood pressure control with fenoldopan during excision of pheochromocytoma. Anestesiol 1999; 91: 2.

20. Higashihara E, Tanaka Y, Horie S et al. Laparoscopic adrenalectomy: the initial 3 cases. J Urol 1993; 149: 973-976.

21. Fernandez-CruzL, BenarrochG,, torres E, et al. Laparoscopic approach to adrenal tumors. J Laparoendosc Surg 1993; 3:541-546.

22. Constantino GN, Mulcalian GG, Vincent GJ et al. Laparoscopic adrenalectomy. J Laparoendosc Surg 1993; 3: 309-311.

23. Albala DM. Laparoscopic nephrectomy and adrenalectomy. Semin Surg Oncol 1994; 10: 417.

24. Feldman JM. Adult distress respiratory syndrome in a pregnant woman with pheochromocytoma. J Surg Oncol 1985; 29: 5-7.

25. Jonssoin A, Hallengren B, Manhem P, Lilja B, Stavenow L, Stahl E et al. Cardiac pheochromocytoma. J Intern Med 1994; 236: 93-6.

26. Cooley DA, Reardon MJ, Frazier OH, Angelini P. Human Cardiac explantation and autotransplantation: application in a patient with a large cardiac pheochromocytoma. Tex Heart Inst J 1985; 12: 171-176.

27. Goldstein RE, O’Neill JA Jr, Holcomb GW et al. Scientific papers of the Southern Surgical Association: Clinical experience over 48 years with pheochromocytoma.

28. Lack EE, Cubilla AC, Woodruff et al. Extra-adrenal paraganglioma of the retroperitoneum: a clinicalpathologic study of 12 tumors. Am J Pathol 1980; 4: 109-120.

29. Averbusch SD, Steakley CS, Young RC et al. Malignant pheochromocytoma: effective treatment with a combination of cyclophosphamide, vincristine, and decarbazine. Ann Intern Med 1988; 109: 267-273.

30. Lewis IH, Yousif D, Mullis SL, Homma S, Gabrielson GV, Jebara VA. Case 2-1994 management of cardiac pheochromocytoma in two patients. J Cardiothorac Vasc Anesth 1994; 8: 233-30.

31. Townsend RR, McGinnis PA, Tuan W, Thrasher K. Case report: bilateral adrenal pheochromocytoma. Am J Med Sci 1994; 308: 123-125.

32. Neumann HPH, Reincke M et al. Preserved adrenocortical function after laparoscopic bilateral adrenal sparing surgery for hereditary pheochromocytoma. J Clin Endocrinol Metab, 1999; 84 (8):

33. Oelkers W. Adrenal Insufficiency. N Engl J Med 1996; 335: 1206-1212.

34. Gomi T, Ikeda T, Sakurai J, Toya Y, Tam M. Cardiac Pheochromocytoma: a case report and review of the literature. Am Heart J 1994; 35: 117-24.

35. Sunder S, Asok D, Shapiro JL, Arroliga AC, Metha AC. Thoracic involvement with pheochromocytoma. A review. Chest 1999; 115: 2.

36. Gallivan MEV, Chun B, Rowden G et al. Intra-thoracic, paraventral malignant paraganglioma. Arch Pathol Lab Med 1980; 104: 46-51.

37. Sheps SG, Jiang NS, Klee GG, van Heerden JA. Recent developments in the diagnosis and treatment of pheochromocytoma. Mayo Clin Proc 1990; 65: 88-95.

38. Olsen JL, Salyer WR. Mediastinal paraganglioma (aortic body tumor). Cancer 1978; 41: 2405-2412.

39. McColl GJ, Fraser K. Pheochromocytoma and pseudovasculitis. J Rheumatol 1995; 22: 1441-1442.

40. Elliot W, Webster R, Nelson K. Renal an Hemodynamic effects of intravenous fenoldopam versus nitroprusside in severe hypertension. Circulation 1990; 81: 970-7.

41. Naito S, Uozumi J, Ichimiya H et al. Laparoscopic adrenalectomy: comparison with open adrenalectomy. Eur Urol 1994; 26: 253-257.

42. J Clin Endocrinol Metab 1999; 84: 2608-2610.

43. Janetschek G, Finkenstedt G, Gasser R et al. Laparoscopic surgery for pheochromocytoma: adrenalectomy, partial resection, excision of paragangliomas. J Urol 1998; 160: 1248-1254.

44. Wells SA, Merke DP, Cutler GB Jr, Norton JA, Lacroix A. Therapeutic controversy: The role of laparoscopic surgery in adrenal disease. Five-year experience with laparoscopic adrenalectomy at Hotel-Dieu in Montreal. J Clin Endocrinol Metab 1998; 83: 3041-3049.

45. Peschel R, Janetschek G, Reissigl A et al. Left-sided laparoscopic adrenalectomy. Scandinavian J Urol Nephrol 1993; 27: 527-529.

46. Fernandez-Cruz L, Saenz A, Benarroch G et al. Technical aspects of adrenalectomy via operative laparoscopy. Surg Endosc 1994; 8: 1348-1351.