摘要
目的提高复发性嗜铬细胞瘤的诊断水平。方法总结1970~1996年术后复发的嗜铬细胞瘤11例,占同期嗜铬细胞瘤的9.3%。经手术及病理证实复发原因是恶性肿瘤的转移及良性肿瘤的多发。结果肾上腺外嗜铬细胞瘤易多发或转移,转移部位多在无嗜铬组织的部位,而多发部位常在肾上腺外。结论复发肿瘤是良性还是恶性应结合诸多因素综合判断。复发嗜铬细胞瘤不都是恶性肿瘤,但因恶性倾向较大应密切观察,定期复查。尤其对原发或复发在肾上腺外的肿瘤更应如此。作者还就复发嗜铬细胞瘤诊断进行讨论。
Objective To improve the diagnosis of recurrent pheochromocy toma.Methods To study 11 cases of recurrent pheochromocytoma treatecl from 1970 to 1996.Results The recurrence was due to the metastasis of malignant tumor and the multifocal occurrence of benign one.Extraadrenal pheochromocytomas tended to occur at several sites or metastasize.The metastatic places ususally no show pheochromatic tissues, and the recurrent benign tumors were liable to grow at extraadrenal regions. The nature of recurrent tumors should be judged according to variant factors.Conclusion The recurrent pheochromocytomas are not malignant in nature,but they have considerable malignant tendency and should undergo intensive survelliance and regular examinations especially for the primary or recurrent extraadrenal pheochromocytomas.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1998年第1期59-60,共2页
Chinese Journal of Surgery
关键词
嗜铬细胞瘤
复发
肿瘤转移
Pheochromocytoma Recurrence Neoplasm metastasis