摘要
报告８６例儿茶酚胺症。其中肾上腺嗜铬细胞瘤７４例（８６％），肾上腺外嗜铬细胞瘤１０例（１１．６％），肾上腺髓质增生（ＡＭＨ）２例（２．３％）。ＣＡ及ＶＭＡ测定对诊断有特异性，Ｂ超及ＣＴ对肾上腺嗜铬细胞瘤的诊断率分别为９３％和９５％。肾上腺外嗜铬细胞瘤有多发性、复发性，恶性率明显增高，无症状嗜铬细胞瘤占８．１％。对无功能肾上腺肿瘤及源于腹膜后的上腹部肿物，要注意嗜铬细胞瘤的可能。ＡＭＨ最可靠的诊断是术中所见及病理改变，手术是根本治疗方法，充分的术前准备是重要的。
cases of catecholamine syndrome were confirmed by surgery and pathology.74 cases(86%)are adrenal pheochromocytoma,10(11.6%)being extradrenal pheochromocytoma and 2(2.3%)adrenal medullary hyperplasia(AMH).CA and VMA assay are specific and essential for the diagnosis.The accurate rate of localization and diagnosis with B-US and CT is 93%,and 95% for adrenal pheochromocytoma.The extraadrenal pheochromocytoma was often multiple.recurrent with a high tendency to malignancy.There is only 7 cases(8.l%)of asymptomatic pheochromiocytoma.The preoperative preparation of the asymptomatic adrenal pheochromocytoma or upper retroperitoneal pheochromocytoma should be the same as adrenal ones.The diagnosis of AMH should be confirmed by surgery and pathology.Surgical extirpationis the only means of cure and meticulous preoperativepreparation is essential.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1995年第2期89-91,共3页
Chinese Journal of Urology
