1. Pituitary Gland
Thyrotoxicosis
Adrenal Gland
Thyroid/Parathyroid
Bone Health
Skin + Heart
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3. What are bilateral adrenal pheochromocytomas?

5. Pheochromocytoma Rule of 10’s
10% Found incidentally
10% Familial (MEN2A, MEN2B)
10% Extra-adrenal
10% Bilateral (multiple)
10% Calcify
10% Children
10% Recurrence
10% Malignant

6. Multiple Endocrine Neoplasia2 (MEN2)
MEN2A
Medullary thyroid cancer
Pheochromocytoma
Parathyroid adenoma
MEN2B
Mucosal neuromas (lips and tongue)
Marfanoid habitus

11. Pheochromocytoma Rare but fatal catecholamines producing tumor
Incidence: 2-8/million people/year
Account for 4% of adrenal incidentaloma
Rule of 10’s:
10% bilateral, 10% extra-adrenal, 10% familial, 10% malignant
Aside from catecholamines, it can also secrete dopamine, ACTH, PTH, calcitonin, vaso-intestinal polypeptide

12. Blake MA, Kalra MK, Maher MM, et al
Blake MA, Kalra MK, Maher MM, et al. Pheochromocytoma: An imaging chameleon. Radiographics. 2004;24:S87–S99.

13. Pheochromocytoma Rare but fatal catecholamines producing tumor
Incidence: 2-8/million people/year
Account for 4% of adrenal incidentaloma
Rule of 10’s:
10% bilateral, 10% extra-adrenal, 10% familial, 10% malignant
Aside from catecholamines, it can also secrete dopamine, ACTH, PTH, calcitonin, vaso-intestinal polypeptide

14. Blake MA, Kalra MK, Maher MM, et al
Blake MA, Kalra MK, Maher MM, et al. Pheochromocytoma: An imaging chameleon. Radiographics. 2004;24:S87–S99.