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Living with Hereditary pheochromocytoma and paraganglioma

An inherited condition with tumors in clusters of nerve-related cells, often causing high blood pressure and racing heart.

Understanding Hereditary pheochromocytoma and paraganglioma

Hereditary pheochromocytoma and paraganglioma is an inherited condition with tumors in the paraganglia, groups of cells near nerve bundles.

A paraganglioma that grows in the adrenal glands (on top of the kidneys) is called a pheochromocytoma. Others usually grow in the head, neck, or trunk. Many tumors make stress hormones that can cause high blood pressure, a pounding heartbeat, headaches, and sweating. Large head and neck tumors can cause coughing, hearing loss in one ear, or trouble swallowing. It can start in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • High blood pressure
  • Pounding heartbeat (palpitations)
  • Headaches
  • Sweating and flushing
  • Nausea and belly pain
  • Chest pain

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include cancer specialists, genetic specialists and hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Neuroendocrine Tumor Research Foundation and Pheo Para Alliance may keep lists of experts for this condition.

Care & treatment

Care team
Cancer specialists (oncologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Neuroendocrine Tumor Research Foundation, Pheo Para Alliance
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Neuroendocrine Tumor Research Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which gene change do I have, and which tumors am I at risk for?
What imaging and blood or urine tests should I have, and how often?
Should my relatives be screened?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticEndocrine

Also known as: familial pheochromocytoma-paraganglioma; hereditary paraganglioma-pheochromocytoma syndrome; hereditary paraganglioma-pheochromocytoma syndromes; hereditary paragangliomas and pheochromocytomas; hereditary pheochromocytoma-paraganglioma

Patient organizations

Source: NIH GARD · Hereditary pheochromocytoma and paragangliomaGARD ID 11984 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hereditary pheochromocytoma and paraganglioma.

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