异位嗜铬细胞瘤的诊断和治疗  

Diagnosis and treatment of ectopic pheochromocytomas

作　　者：王养民[1] 赵志强[1] 王楠[1] 景德善[1] 董永超[1] 鲁守琳[1] 赵玉海[1] 

机构地区：[1]兰州军区兰州总医院全军泌尿外科中心,甘肃兰州730050

出　　处：《现代泌尿外科杂志》2010年第2期96-98,共3页Journal of Modern Urology

摘　　要：目的探讨异位嗜铬细胞瘤的诊断和治疗特点。方法回顾分析2005年6月～2009年3月收治并经病理证实的9位异位嗜铬细胞瘤患者的临床资料。结果24h尿香草扁桃酸(VMA)及血儿茶酚胺检测升高分别为7例(77.8%)和8例(88.9%)。9例均行B超检查,5例进一步行CT检查,4例行MR;下腔静脉与腹主动脉间3例、腹主动脉旁2例、腔静脉后2例、肾蒂后2例。其中为进一步明确肿瘤毗邻关系行血管造影和CTA各1例。肿瘤平均直径(4.5±2.2)cm。9例均手术切除,术后血压正常8例,口服降压药控制良好1例。结论手术切除目前仍是异位嗜铬细胞瘤最有效的治疗方法,因肿瘤和周围大血管和器官的关系复杂,腹腔镜下肿瘤切除仍不能代替开放手术。Objective To investigate the clinical manifestations,diagnosis and treatment of ectopic pheochromocytomas. Methods Data of 9 cases with ectopic pheochromocytomas proven pathologically from June 2005 to March 2009 was retrospectively analysed. Results The diagnosis ratio of 24h urinary VMA and serum catecholamine were 77.8% and 88.9% respectively. B-ultrasound scan was performed in 9 patients, CT scan in 5 and MRI in 4. The turner was bocated between inferior vena cava and abdominal aorta in 4 cases, beside abdominal aorta in 2 cases, behind inferior vena cava in 2 cases and behind renal pedicle in 2 cases. Angiography and CTA were further performed in 2 patients respectively. The mean diameter of tumor was （4.5± 2.2） cm. 8 patients were cured after surgical treatment while 1 patient received drug therapy and blood pressure was controlled effectively. Conclusion Surgical removal is still the most effective treatment for ectopic pheochromocytomas. Laparoscopic surgery can not take the place of open surgery.

关 键 词：异位嗜铬细胞瘤 诊断 治疗 

分 类 号：R737[医药卫生—肿瘤]