PHEOCHROMOCYTOMA PROFILE

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PHEOCHROMOCYTOMA IS A CATECHOLAMINE PRODUCING TUMOR WHICH ACCOUNTS FOR <1% OF ALL SECONDARY CAUSES OF HYPERTENSION. ALTHOUGH 90% OF PHEOCHROMOCYTOMAS ARE BENIGN THEY REQUIRE EARLY DIAGNOSIS AND THERAPY. APROXIMATELY 90% OF THESE TUMORS ARISE WITHIN THE ADRENAL MEDULLA WHEREAS 10-15% ARE EXTRA-ADRENAL IN ORIGIN.

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2 ML (1 ML MIN.) PLASMA FROM 1 LAVENDER TOP EDTA TUBE AND 50 ML (10 ML MIN.) ALIQUOT OF 24-HOUR URINE. COLLECT URINE WITHAPPROPRIATE VOLUME OF 50% HCL TO MAINTAIN PH BETWEEN 1 2. DO NOT USE CONCENTRATED HCL. RECORD 24 HOUR VOLUME ON TEST REQUEST FORM AND URINE CONTAINER. SHIP FROZEN. PATIENT SHOULD STRICTLY AVOID ALPHA-ONE BLOCKERS, AMINOPHYLLINE, AMPHETAMINES, AMPICILLIN, BETA-BLOCKERS, EPHEDRINE, IMIPRAMINE, METHYLDOPA, BUSPIRON, CODEINE, L-DOPA, MAO INHIBITORS, NICOTINE, PHENACETIN, PHENOTHIAZINE, THEOPHYLLINE, VASODILATORS, ASPIRIN,PAS, ALPHA-TWO AGONISTS, BROMOCRIPTINE, CALCIUM CHANNEL BLOCKERS (LONG TERM USE), CLOFIBRATE, PROPRANOLOL, PENICILLIN, RESERPINE, THYROXINE, ALPHA-METHYLDOPA, ISOPROTERENOL, LABETALOL, MANDELAMINE, PARACETAMOL, CIMETIDINE, METOCLOPRAMIDE, VIGOROUS EXERCISE, ALCOHOLIC BEVERAGES, TEA/COFFEE, TOBACCO, CHOCOLATE, PEPPER, VANILLA & BANANA AT LEAST 72 HOURS BEFORE AND DURING SPECIMEN COLLECTION.

HPLC-EC, TRACE, LC-MS/MS

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