Pheochromocytoma
A benign or malignant neuroendocrine neoplasm of the sympathetic nervous system that secretes catecholamines. It arises from the chromaffin cells of the adrenal medulla. Clinical presentation includes headaches, palpitations, chest and abdominal pain, hypertension, fever, and tremor. Microscopically, a characteristic nesting (zellballen) growth pattern is usually seen. Other growth patterns including trabecular pattern may also be present.
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Recent Cases of Pheochromocytoma
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Looks like “pheochromocytoma” Symptomatic treatment And surgical excision of tumor
Top Cases of Pheochromocytoma
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Retroperitoneal Composite Paraganglioma Complicating Pregnancy, Composed of Paraganglioma & Ganglioneuroblastoma.
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Top doctors who continously share their opinions on Pheochromocytoma20 Years of Teaching To Both UGs & PGs
As Assistant, Associate & Professor
Gandhi Medical College, Dr. NTRUHS
MD Pathology

West Bengl Health Service Transferable Serviceì In Different Hospitals
Physician
PGI,Chandigarh
M D MEDICINE)

GRH Madurai
Mbbs
Madurai Medical College
MBBS

BARC Hospital
Consulting Surgeon
LTMMC
MS

Super Specialist in Reproductive Endocrinology

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In your opinion, where is the need for psychologists and psychiatrists most critical?
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Last week was back-to-back five bilobed bipaddled PMMC flaps for full-thickness buccal mucosa defects. It made me reflect— In India, where many patients present late with advanced head and neck cancers, and where microvascular expertise or resources may be limited, this flap becomes more than a salvage,It becomes a purposeful craft, especially when where risk, and resources are in short supply. Success in reconstruction lies less in patient factors, and more in the surgeon’s design and execution. Every wound dehiscence, infection, or flap failure often reflects a planning flaw rather than patient factors. The Bilobed PMMC Flap Is More Than a Procedure.It’s a mastery of balance between form and function & between art and science As surgical oncologists, we must reconstruct with the same precision we resect. Both are part of the same journey,and in that journey, mindful reconstruction is where true surgical wisdom lies. Here are my 2 cents for how to plan for Bilobed PMMC Flap ✅ Flap Design • Center on the Nipple-Areola Complex (NAC) • Inner paddle → inferolateral, for mucosal lining • Outer paddle → medial, for skin cover • Lateral “C” design allows a large harvest with primary closure ✅ Paddle Orientation • Taper both ends to prevent dog-ears • Leave 1 cm between paddles for de-epithelialization & tension-free folding ✅ Safe Flap Limits • Do not extend >2 cm beyond the pectoralis major borders to preserve viability ✅ Pedicle Handling • Avoid spiraling of the pedicle • If NAC is included, anticipate nipple positioning in inner paddle or mark inner paddle ✅ Commissure Reconstruction • Prioritize primary closure • Use flap bulk to maintain commissure symmetry and prevent deviation ✅ Nerve Division • Always divide the lateral pectoral nerve to prevent post-op compression Suggestions are welcome for insightful discussion regarding same .
Dr. Bhavin Vadodariya0 Like0 Answer
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