Clinical suspition of pheochromocytoma24-hr urine for unmetabolized catecholaminesmetanephrines and creatinineMedical managementPlasma metanephrinesOr catechotamines*Adrenal imaging (MRI or CT)Pharmacologic testingClonidine suppressionOr glucagon stimulationTumorvisualizedTumor notvisualizedMRI of chest abdomenpelvis;MIBG/octreotiedscintigraphyTumor notvisualizedTumorvisualizedMedicalmanagementMedical preooperativeTreatment,surgeryMedicalmanagement