腹膜后副神经节瘤的组织学和临床研究(附10例报告)  

Histoloical and clinical study of paraganglioma of the retroperitoneum (report of 10 case )

作　　者：冀强[1] 蒋力生[1] 陈鹏[1] 

机构地区：[1]四川大学华西医院普外科,四川成都610041

出　　处：《四川解剖学杂志》2004年第4期272-273,共2页Sichuan Journal of Anatomy

摘　　要：目的　探讨腹膜后副神经节瘤的解剖组织 ,诊断和治疗方法。方法　回顾性分析 10例腹膜后副神经节瘤的临床资料。 6例有不同程度的血压升高、头痛、心悸、多汗及视物不清等症状 ,4例无明显特异性症状。结果　 7例病例行肿瘤切除术 ,2例部分切除 ,行探查手术 1例。病理检查良性 8例 ,恶性 2例。结论　B超 ,CT是定位诊断的主要方法 ,尿儿茶酚胺和VMA测定对定性诊断有较高特异性。早期彻底手术切除是治疗腹膜后副神经节瘤的唯一有效方法。Objective To study the diagnosis and management of paragangliomas in the retroperitoneum. Methods 10 patients with paragangliomas of the retropertoneum were analyzed retrospectively. 6 patients presented with hypertention,headache ,palpitation ,sweating and blurred vision et al.Results All the patients were treated with surgical operation including 7 total resection of tumor ,2 partial resection and 1 biopsy . 2 of the 10 cases were malignant according to the post-operative pathologic dianosis. Conclusion Ultrasonography and CT scanning are effective means for tumor localization. The determination of CA and VMA in blood and urine is valuable for the qualitative diagnosis.Surgical extirpation is a good method for the effective treatment .

关 键 词：副神经节瘤 腹膜后 组织学 诊断 治疗 

分 类 号：R735.4[医药卫生—肿瘤]