Metastatic Pheo Para

Dr. Karel Pacak, NIH

Download Dr. Pacak’s slides

Special thanks to Progenics for making this Facebook Live Webinar possible.

See the questions asked and timing below.

This webinar makes reference to Azedra, a radiopharmaceutical therapy used to treat metastatic and unresectable pheo para.  This therapy is no longer commercially available.

  1. 32:08 Is this disease really as rare as it is thought to be?
  2. 34:02 How can someone reach out to the NIH and possibly get treated?
  3. 35:27 For MIBG, do women who are breastfeeding need to be in isolation and if so for how long?
  4. 36:33 Have any new genes been found that produce an excess of red blood cell production?
  5. 37:40 Are anxiety and panic attacks with sweating symptoms of pheo and para?
  6. 39:38 Are there any over the counter medications one can take to help the drug therapies work better?
  7. 42:08 What are the chances of para recurrence after surgical resection?
  8. 44:29 Is it always stage 4 when it has spread to the bone? What is the life expectancy?
  9. 45:40 Is surgery an option for a pheo that hasn’t metastasized?
  10. 47:28 Does having a ruptured pheo increase the chances of the ruptured pieces spreading?
  11. 49:23 Do alpha blockers possibly make panic attacks worse?
  12. 50:18 Are blood-tests good enough for follow up with pheo para disease?
  13. 51:31 How easy is it to get CT or MRI scans?
  14. 52:30 Is there a place one could go to be treated with interventional radiology for a metastatic liver?
  15. 54:27 How long does it take blood pressure to return to normal after pheo surgery?
  16. 55:20 What is on the horizon for therapies for this disease?