摘要
目的:探讨腹膜后非嗜铬副神经节瘤(副节瘤)的诊断与治疗方法。方法:诊断为肾上腺癌并腰椎转移的患者,女,38岁;手术采用经胸腹联合切口,切除第9肋,打开膈肌,由于肾脏和肿瘤粘连紧密,行腹膜后肿瘤及左肾联合切除术。结果:肿瘤完整切除,肿瘤10cm×9cm×7cm。病理诊断为倾向来源于肾上腺的副神经节瘤。腰椎手术后,病检证实是副神经节瘤转移。结论:恶性副神经节瘤对化疗和放疗不敏感,手术是唯一有效的治疗方法。
Objective： To explore for the appropriate diagnosis and treatment for retroperitoneal paraganglioma. Methods： A 38-year-old woman had been diagnosed to have adrenal carcinoma and lumbar vertebra metastasis, abdominothoracic incision was used, the No.9 rib ablated, the diaphragmatic muscle opend. Because the kidney and retroperitoneal paraganglioma adhered tightly, the both were all removed. Results： The tumour was integrity ablated. The tumour measured 10cm× 9cm×7cm. The pathologic diagnosis was paraganglioma and came from adrenal gland.After operation of the lumbar vertebra,it was paraganglioma metastasized the lumbar verte- bra confirmed by pathoexam. Conclusions： Malignancy retroperitoneal paraganglioma was insensitive to chem and radiotherapy, Surgical excision is best therapeutic option.
出处
《现代生物医学进展》
CAS
2009年第18期3502-3503,F0002,共3页
Progress in Modern Biomedicine
关键词
副神经节瘤
肿瘤
腹膜后肿瘤
胸腹联合切口
转移
Paraganglioma
tumour
retroperitoneal tumour
abdominothoracic incision
metastasize
