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The Key Principles of Pheochromocytoma
The right answer on any board exam or an app site at this time is open adrenalectomy. You don't want to violate the tumor capsule and create more disease. There's also a theoretical concern about aerosolization of the tumor cells with a laparoscopic technique that you want to avoid. The adjuvant therapy for adrenal cortical carcinoma is cytotoxic for all the adrenal cells.