肾上腺外嗜铬细胞瘤的诊断与治疗(1)
【摘要】 目的 探讨肾上腺外嗜铬细胞瘤的诊断和治疗方法。方法 对1991-2006年间诊治的10例肾上腺外嗜铬细胞瘤患者病例资料进行回顾分析,总结其临床特点。结果 均行手术治疗,切除肿瘤8例,包膜下剜除肿瘤2例。手术切除瘤体直径2~9 cm。随访7个月~10年,9例高血压患者术后血压正常8例、仍有高血压1例。肿瘤复发、转移3例,恶性嗜铬细胞瘤3例,死亡1例。结论 VMA及血、尿儿茶酚胺是定性诊断异位嗜铬细胞瘤的主要依据,CT诊断定位准确、131碘-间位碘代苄胍(131I-MIBG)定位准确、敏感性高,且可作为治疗措施。术前降压、扩容、纠正心律失常是手术成功的关键,手术治疗是本病的首选,术后应长期随访。【关键词】 嗜铬细胞瘤;肾上腺外;诊断;治疗
【Abstract】 Objective To study the diagnosis and management of extra-adrenal pheochromocytoma.Methods The clinical date of 10 cases of extra-adrenal pheochromocytoma were retrospectively studied.Results All cases had been treated with operation.There were 2 cases operated under epidural anesthesia and 8 general anesthesia.the specimens were from 2 to 9 cm in size.Among 9 cases with hypertension ......
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