膀胱嗜铬细胞瘤的诊断与治疗(附7例报告)  

Diagnosis and treatment of bladder pheochromocytoma (Report of 7 cases)

作　　者：李虎[1] 梁朝朝[1] 朱永士[2] 郝宗耀[1] 张桃福[1] 江长琴[1] 胡怀远[2] 常全森[2] 

机构地区：[1]安徽医科大学第一附属医院泌尿外科,合肥230022 [2]蚌埠医学院第三附属医院

出　　处：《安徽医学》2009年第1期13-16,共4页Anhui Medical Journal

摘　　要：目的探讨膀胱嗜铬细胞瘤的诊断和治疗。方法分析1997年至2007年资料完整、经病理证实的膀胱嗜铬细胞瘤7例。结果7例均经术后病理及免疫组化证实膀胱嗜铬细胞瘤。2例行膀胱部分切除,2例行膀胱部分切除和输尿管再植术(累及患侧输尿管口),2例行TUR-BT,1例行小切口腹腔镜辅助膀胱部分切除术。随访6个月～2年,血压正常,无肿瘤复发。结论膀胱嗜铬细胞瘤为潜在恶性肿瘤,诊断需结合临床、病理及免疫组化结果。手术切除是首选治疗方法,术后应密切随访。Objective To investigate the diagnosis and treatment of pheochromocytoma. Methods Seven cases of pheochromocytoma diagnosed and treated from 1997 to 2007 were studied retrospectively. Results Seven cases all received operation, All cases were confirmed bladder pheoehromocytoma by pathology and immunohistochemistry, eases were removal of the partial bladder （two bladder pheochromocytoma of them added ureter replantation,Because of violations of the affected ureter）;2 cases were TUR-BT;One case was small incision with laparoscopie assisted resection of the partial bladder. Follow-up of 6 months to 2 years, blood pressure normal, no tumor recurrence. Conclusions Bladder pheochromocytoma was a potential cancer, Diagnosis of pheochromocytoma mainly relied on B ultrasonic, CT and clinical symptoms; Pathology and immunohistochemical were mian diagnostic way. Surgical resection is the preferred treatment and close follow-up after surgery.

关 键 词：膀胱 嗜铬细胞瘤 诊断 治疗学 

分 类 号：R737.14[医药卫生—肿瘤] R693.130.5[医药卫生—临床医学]