多发性嗜铬细胞瘤  

Multifocal pheochromocytoma

作　　者：孔垂泽[1] 刘同才[1] 张铭铮[1] 李书章[1] 李芳[1] 孙志熙[1] 滕卫宁 

机构地区：[1]中国医科大学第一临床学院泌尿外科,沈阳110001 [2]沈阳市第五人民医院

出　　处：《中华泌尿外科杂志》2000年第1期19-21,共3页Chinese Journal of Urology

摘　　要：目的　探讨多发性嗜铬细胞瘤临床特点以提高诊治效果。　方法　对１７ 例多发性嗜铬细胞瘤进行回顾性总结。　结果　多发性嗜铬细胞瘤占同期嗜铬细胞瘤的１４ ．１ ％ （１７／１２１）。肾上腺多发嗜铬细胞瘤６ 例，腹膜后多发嗜铬细胞瘤５ 例，单发嗜铬细胞瘤术后２ ．５ ～４ ．０ 年复发单个嗜铬细胞瘤６ 例。腹膜后多发嗜铬细胞瘤５ 例于术后１ ．０ ～２ ．５ 年复发，４ 例多发复发者死于脑血管意外。　结论　多发性嗜铬细胞瘤表现为同时性多发和异时性多发。腹膜后多发嗜铬细胞瘤常于术后短期内复发，预后不良。Objective To explore clinical features of multifocal pheochromocytoma. Methods A retrospective study of 17 cases of multifocal pheochromocytoma was made. Results Multifocal pheochromocytoma comprised of 14.1% of the total pheochromocytoma treated in the same period.There were 6 cases of multifocal pheochnomocytoma in the adrenal gland,5 cases of retroperitoneal multifocal pheochromocytoma and 6 cases of occurrence of another pheochromocytoma 2.5～4.0 years after the ablation of the primary pheochromocytoma.In 5 cases of retroperitoneal multifocal pheochromocytoma,recurrence ocurred 1～2.5 years after the primary operation and 4 of them died of cerebral vascular accident. Conclusions Multifocal pheochromocytoma could be simultaneous or recurrent.Retroperitoneal multifocal pheochromocytoma usually recurred shortly after the primary operation and the prognosis is poor.

关 键 词：嗜铬细胞瘤 多发性 诊断 治疗 

分 类 号：R736.6[医药卫生—肿瘤]