Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Accidentally discovered during a routine physical examination on March 14, 2010, and usually only felt a little swelling and pain in the back between the ribs. He recovered well after surgery, but his blood pressure was still high. Pathological examination report: right adrenal pheochromocytoma, tumor cells with heterogeneity, and tumor emboli were found in some of the vessels on its envelope. The tumor is 5.5*4.5*3.5(cm), weighing 46.0g. Immunohistochemistry: tumor cells CgA(+), MART(-), CR(-), inhibin(-), scattered S-100 supporting cells, Ki67 positivity rate <1%;. What can I do to help: 1. What should I pay attention to after surgery? 2. What should I do if my blood pressure is high? Niu Yinong, Department of Urology, Beijing Chaoyang Hospital Niu Yinong, Department of Urology, Beijing Chaoyang Hospital: Pay attention to regular review after surgery. 10% of pheochromocytomas are malignant and may recur and metastasize; 10% are multiple; 10% are ectopic; so regular review is necessary. The problem of blood pressure, if the above-mentioned possibilities are excluded, high blood pressure is also present in the short term, even due to years of hypertension, even if the tumor is removed, high blood pressure is possible, and blood pressure can be controlled with medication. Patient: What is the best antihypertensive drug to use? Patient: Please ask Dr. Niu what does CgA (+) mean and what does Ki67 <1%; mean? Urology Department of Beijing Chaoyang Hospital, Niu Yinong: The antihypertensive drugs can be used with the common antihypertensive drugs used in cardiology, such as calcium cotransport blockers and angiotensin-converting enzyme inhibitors, etc. You can ask the cardiologist to adjust them for you. The CgA is an indicator of the origin of the tumor cells, and a positive CgA indicates the origin of the pheochromocytoma. Ki67 is an indicator of the cell proliferation rate, and the higher it is, the worse it is, but most pheochromocytomas are benign tumors, so don't worry too much and pay attention to the review. Patient: Thank you, Dr. Niu, for your answer.