Pheochromocytoma Quiz
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Questions and Answers

What is the characteristic appearance of pheochromocytoma?

  • Yellowish appearance due to lipid accumulation
  • Reddish appearance due to vascularization
  • Dark brown black appearance caused by chromaffin oxidation of catecholamines (correct)
  • Light brown appearance due to melanin production
  • Which genes are associated with inherited germline mutation in pheochromocytoma?

  • RET, VHL, NF1, SDHD, SDHC or SDHS (correct)
  • BRCA1, BRCA2, TP53, APC
  • KRAS, EGFR, ALK, ROS1
  • PTEN, STK11, CDH1, BMPR1A
  • What are the common clinical features of pheochromocytoma predominantly due to?

  • Secretion of catecholamines, both epinephrine and norepinephrine (correct)
  • Secretion of cortisol and aldosterone
  • Secretion of insulin and glucagon
  • Secretion of thyroid hormones
  • What is the age range in which most pheochromocytoma patients are found?

    <p>20-60 years old</p> Signup and view all the answers

    How are malignant pheochromocytomas diagnosed?

    <p>By metastasis rather than by morphology</p> Signup and view all the answers

    Where do the vast majority of neuroblastoma cases occur?

    <p>In the abdomen</p> Signup and view all the answers

    What gene mutation is associated with familial cases of neuroblastoma?

    <p>ALK (anaplastic lymphoma kinase) gene</p> Signup and view all the answers

    What are the clinical manifestations of neuroblastoma related to?

    <p>Rapid local growth, metastatic spread, or development of hormonal syndrome</p> Signup and view all the answers

    What can be detected in the 24-hour urine of a patient with neuroblastoma?

    <p>Catecholamines and its metabolites such as vanillyl mandelic acid (VMA) and homovanillic acid (HVA)</p> Signup and view all the answers

    What syndrome may a patient develop due to the production of kinins or prostaglandins by the neuroblastoma?

    <p>Carcinoid-like syndrome</p> Signup and view all the answers

    Study Notes

    Pheochromocytoma Characteristics

    • Pheochromocytoma has a characteristic appearance of a well-circumscribed, highly vascularized tumor with a variegated cut surface.

    Genetic Associations

    • Inherited germline mutations in pheochromocytoma are associated with genes such as RET, VHL, NF1, and SDHx.

    Clinical Features

    • The common clinical features of pheochromocytoma are predominantly due to excessive catecholamine production, leading to symptoms such as hypertension, headaches, and palpitations.

    Age Range

    • Most pheochromocytoma patients are found in the age range of 40-60 years.

    Malignant Diagnosis

    • Malignant pheochromocytomas are diagnosed by the presence of metastases, typically to the bones, liver, or lymph nodes.

    Neuroblastoma Characteristics

    • The vast majority of neuroblastoma cases occur in the adrenal medulla.

    Genetic Associations

    • Familial cases of neuroblastoma are associated with mutations in the ALK gene.

    Clinical Manifestations

    • The clinical manifestations of neuroblastoma are related to the production of catecholamines, leading to symptoms such as hypertension, diarrhea, and sweating.

    Urine Analysis

    • Vanylmandelic acid (VMA) and homovanillic acid (HVA) can be detected in the 24-hour urine of a patient with neuroblastoma.

    Syndrome Association

    • Patients with neuroblastoma may develop a syndrome due to the production of kinins or prostaglandins by the tumor, known as neuroblastoma-associated syndrome.

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    Description

    Test your knowledge of pheochromocytoma with this quiz. Learn about the characteristics, origins, and related terms of this adrenal medulla tumor.

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