Hormone Secreting Tumors

Pheochromocytoma is a rare disorder that can occur in both children and adults and is associated with catecholamine secretion from a tumor in the renal medulla. This secretion results in acute, episodic, or chronic symptoms of anxiety that are often associated with hypertension. Clinical symptoms include increased heart rate, increased blood pressure, myo-cardial contractility, and vasoconstriction. Patients may present with headache, sweating, palpitations, apprehension, and a sense of impending doom (Goebel-Fabbri et al. 2005). A pediatric case report documents a 15-year-old with pheochromocytoma who presented with panic attacks, depression, headache, and jaundice (Gokge et al. 1991). Thyroid adenoma or carcinoma, parathyroid tumor, adreno-corticotropic hormone-producing tumors, and insulinomas are other hormone-secreting tumors associated with anxiety symptoms.

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