logo
episode-header-image
Oct 2
28m 30s

Clinical Challenges in Surgical Oncology...

Behind The Knife: The Surgery Podcast
About this episode
Join the Behind the Knife Surgical Oncology Team as we discuss the nuances in the work up and management of patients with pheochromocytomas.

Hosts:
Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center.

Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist/HPB surgeon at Kaiser LAMC in Los Angeles.

Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a 2ndYear Surgical Oncology fellow at MD Anderson.

Beth (Elizabeth) Barbera, MD (@elizcarpenter16) is a General Surgery physician in the United States Air Force station at RAF Lakenheath.

Joe (Joseph) Broderick, MD, MA (@joebrod5) is a General Surgery research resident between his second and third year at Brooke Army Medical Center.

Galen Gist, MD (@gistgalen) is a General Surgery research resident between his second and third year at Brooke Army Medical Center.

Learning Objectives:
1)    Review the presentation of patients with pheochromocytomas. 

2)    Review the work up of patients with pheochromocytomas. 

3)    Review the treatment of patients with pheochromocytomas. 

4)    Review the surveillance of patients with pheochromocytomas. 

References used in the making of this episode:
Patel D. Surgical approach to patients with pheochromocytoma. Gland Surg. 2020;9(1):32-42. doi:10.21037/gs.2019.10.20. PMID: 32206597; PMCID:PMC7082266.
 
Eisenhofer G, Lenders JW, Siegert G, et al. Plasma methoxytyramine: a novel biomarker of metastatic pheochromocytoma and paraganglioma in relation to established risk factors of tumour size, location and SDHB mutation status. Eur J Cancer. 2012;48(11):1739-1749. doi:10.1016/j.ejca.2011.07.016. PMID:22036874; PMCID: PMC3372624.
 
Lenders JWM, Eisenhofer G, Mannelli M, Pacak K. Phaeochromocytoma. Lancet. 2005;366(9486):665-675. doi:10.1016/S0140-6736(05)67139-5.
 
Vicha A, Musil Z, Pacak K. Genetics of pheochromocytoma and paraganglioma syndromes: new advances and future treatment options. Curr Opin Endocrinol Diabetes Obes. 2013;20(3):186-191. doi:10.1097/MED.0b013e32835fcc45. PMID: 23481210; PMCID: PMC4711348. https://pubmed.ncbi.nlm.nih.gov/23481210/

Dickson PV, Alex GC, Grubbs EG, et al. Posterior retroperitoneoscopic adrenalectomy is a safe and effective alternative to transabdominal laparoscopic adrenalectomy for pheochromocytoma. Surgery. 2011;150(3):452-458. doi:10.1016/j.surg.2011.07.004. https://pubmed.ncbi.nlm.nih.gov/21878230/

Lei K, Wang X, Yang Z, et al. Comparison of the retroperitoneal laparoscopic adrenalectomy versus transperitoneal laparoscopic adrenalectomy for large (≥6 cm) pheochromocytomas: a single-centre retrospective study. Front Oncol. 2023;13:1043753. doi:10.3389/fonc.2023.1043753. PMID: 36910608; PMCID: PMC9992891. https://pubmed.ncbi.nlm.nih.gov/36910608/

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  
If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen
Behind the Knife Premium:
General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review
Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas
Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship
Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation
Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review
Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review
Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review
Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review
Download our App:
Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049
Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Up next
Nov 20
Clinical Challenges in Surgical Education: A Diver, Photographer, and a Chef Walk into an OR
<div>Step outside the operating room with us to explore the art, creativity, and humanism that shape a surgeon’s life beyond medicine. Our guest Dr. Adnan Alseidi is not only a renowned hepatobiliary surgeon and surgical educator, but also an avid diver, photographer, and chef. D ... Show More
29m 19s
Nov 17
Surgeon, Heal Thyself: Mastering Ergonomics & Navigating Injury
<div>Stop powering through the pain! Surgery is a high-performance sport, yet surgeons often operate with minimal support, leading to chronic pain and potential career-ending injuries. This episode dives into the crucial topic of <strong>surgical ergonomics</strong>, explaining w ... Show More
29 m
Nov 13
Journal Review in Vascular Surgery: Carotid Revascularization – CEA, Stent or Nothing at All?
<div>Carotid artery disease management has come a long way. From the days when every stroke meant an endarterectomy to a modern era defined by precision, evidence, and evolving technology. With advances in medical therapy and newer techniques like TCAR, the vascular surgeon has e ... Show More
43m 13s
Recommended Episodes
Jul 2025
Management of Pediatric Surgical Patients
In the latest episode of Surgical Readings from SRGS, host Rick Greene, MD, FACS, is joined by Associate Editors Carmelle Romain, MD, FACS, and Manish Raiji, MD, FACS, from the University of Chicago’s Department of Surgery. Together, they explore key topics in pediatric surgical ... Show More
32m 47s
Sep 10
"SPrNSM with PAP Flaps" with Jesse Selber, MD - Sept. 2025 Journal Club
In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Jesse Selber, MD, discuss the following articles from the September 2025 issue: " ... Show More
13m 40s
Sep 3
"Breast Recon: Shift in Scope" with Jesse Selber, MD - Sept. 2025 Journal Club
In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Jesse Selber, MD, discuss the following articles from the September 2025 issue: " ... Show More
15m 31s
Sep 2024
93: Dr. Matt Provencher and Dr. Armando Vidal on Strategies for Multi-ligamentous Knee Surgery (LIVE at AOSSM 2024)
<p>Today’s episode is going to focus on the workup of a patient with a suspected multiligamentous knee injury as well as a surgical approach that follows – including acute versus delayed surgery, repair versus reconstruction, surgical technique and order of operations in the OR. ... Show More
34m 21s
Dec 2024
107: Advances in Medial Meniscus Root Repair with Dr. Aaron Krych (Part 1)
<p>On today’s episode we’re focusing on medial meniscus root repairs with Dr. Aaron Krych, Chair of Orthopedic Surgery and Professor of Orthopedic Surgery at The Mayo Clinic in Rochester, Minnesota. We have some great articles for you that contribute well to our conversation on t ... Show More
24m 37s
Jul 2022
Colorectal Disease—Part 1
In the inaugural episode of this series, Rick Greene, MD, FACS, interviews Sandra Kavalukas, MD, a colorectal surgeon from the University of Louisville Medical Center about the management of perirectal abscess and diverticular disease, the use of fiber supplements, and the import ... Show More
20m 36s
Sep 25
Pediatric Noninfectious Uveitis in the US
Dr. Edmund Tsui sits down with Drs. Akshay S. Thomas and Ogul E. Uner to discuss their IRIS Registry study of the prevalence, characteristics, and treatment patterns of pediatric noninfectious uveitis in the United States. From their Ophthalmology Retina article, "Prevalence, Tre ... Show More
27m 53s
Oct 7
Ep. 242 Advances in Posterior Nasal Nerve Ablation with Dr. Greg Davis
We’re keeping the chronic rhinitis conversation going in this week’s episode of BackTable ENT. Otolaryngologist Dr. Greg Davis joins Dr. Ashley Agan and Dr. Gopi Shah to break down his approach to posterior nasal nerve (PNN) ablation with the NeuroMark Gen 3, including patient pr ... Show More
1h 1m
Jul 2025
"PROs after Facial Laser Resurfacing" with Lara Devgan, MD, MPH - Jul. 2025 Journal Club
<p>In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Lara Devgan, MD, MPH, discuss the following articles from the July 2025 issue: ... Show More
18 m
Aug 26
Ep. 237 Approaches to Mandibular Osteo Radionecrosis Management with Dr. Eli Gordin and Dr. Ariel Frost
Hyperbaric oxygen is out and surgical innovation is in—here’s how the rescue flap is reshaping ORN care. Facial plastic and microvascular surgeons Dr. Ariel Frost and Dr. Eli Gordin join host Dr. Ashley Agan to discuss osteoradionecrosis (ORN) of the mandible.---SYNPOSISThe discu ... Show More
1h 18m