摘要
目的:提高对静止型嗜铬细胞瘤的诊断和治疗水平。方法:回顾性分析12例静止型嗜铬细胞瘤和同期105例非静止型嗜铬细胞瘤的临床资料。结果:12例静止型嗜铬细胞瘤患者的血压、尿儿茶酚胺(CA)、尿香草基苦杏仁酸(VMA)均正常或略高于正常值;静止型嗜铬细胞瘤常见于肾上腺偶发瘤及上腹部肿物诊断中,以女性及右侧偏多,肿瘤多呈球形,直径大多<2cm或>5cm,瘤体中常见液化坏死,并且面积较大;所有病例均进行手术治疗,其中6例术中血压无上升,3例有轻度上升,3例发生高血压危象,无一例死亡。结论:静止型嗜铬细胞瘤在临床上具有潜在的危险性,应充分认识,术前充分准备,术中及时妥善处理。
PurposetTo improve the diagnosis and treatment of static pheochromocytoma. Methods;Materials of 12 cases of static pheochromocytoma and 105 cases of nonstatic pheochromocytoma were reviewed and analyzed. Results:The values of blood pressure, CA and VMA in urine are approximately normal. All the 12 cases of static pheochromocytoma were treated by operation. The values of blood pressure of 6 cases were stable during the operation. 3 cases elevated slightly, and 3 cases developed to hypertension crisis. Conclusions: Static pheochromocyto-mas are often found in female incidentaloma and hypochondrial tumor at right. They are usually spherical shaped with diameter less than 2 cm or more than 5 cm. Liquefaction and necrosis of the tumor often occur with large are-a. Static pheochromocytomas are of latent danger clinically, and should be well recognized and prepared to treat them properly.
出处
《临床泌尿外科杂志》
2003年第4期212-213,共2页
Journal of Clinical Urology
