Adrenal disease

Quality of life in patients with pheochromocytoma and paraganglioma: influence of tumor type, genetics and surgical resection

Eur J EndocrinolPublished Prospective cohort study

Authors' conclusion

Patient-reported physical health was reduced in patients with metastatic PPGLs, unresected HNPGLs, and PV carriers without prior PPGL, whereas patients after curative PPGL resection reported QoL comparable to the general population, regardless of PV status, suggesting that annual follow-up has minimal impact on QoL.

Study context

Population
Patients with pheochromocytomas and paragangliomas (PPGL) before and after surgery and carriers of susceptibility pathogenic variants (PVs) for PPGLanalysed
Participants
202 patients
Exposure
Quality of life (QoL) across PPGL subgroups
Outcome
Patient-reported QoL (SF-12, PHQ-D, GAD-7)
Methodological detailsProsPheo study
  • ProsPheo study

Main finding

As reported in the abstract

SF-12 PCS

Metastatic PPGL

40.3

Unresected head and neck paragangliomas (HNPGL)

40.0

PV carriers after curative PPGL resection

50.2

P = 0.006

Observational data: associations, not effects.

Further findings

OutcomeUnresected HNPGLP value
SF-12 PCS within metastatic disease: hormonally active vs inactive tumoursLower with hormonally activeP = 0.03
Clinically relevant anxiety21.7%
  • SF-12 PCS within metastatic disease: hormonally active vs inactive tumours: Hormonally active 36.9
  • SF-12 PCS within metastatic disease: hormonally active vs inactive tumours: Inactive 46.2
  • Clinically relevant anxiety: PV carriers 15.2%
  • Clinically relevant anxiety: General population 5.9%
  • Clinically relevant anxiety: general population: about 5.9%

Original publication

Quality of life in patients with pheochromocytoma and paraganglioma: influence of tumor type, genetics and surgical resection. Eur J Endocrinol. Published 12 January 2026. doi:10.1093/ejendo/lvag003

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