血管介入结合手术切除巨大无症状嗜铬细胞瘤1例  

Vascular intervention combined with surgery for the management of huge asymptomatic pheochromocytoma: A report of one case

作　　者：王帅[1] 黄汉飞[1] 段键[1] 邹文香[1] 罗罡[1] 曾仲[1] 

机构地区：[1]昆明医科大学第一附属医院器官移植中心,云南省昆明市650032

出　　处：《世界华人消化杂志》2012年第26期2538-2541,共4页World Chinese Journal of Digestology

基　　金：云南省创新团队基金资助项目;No.2009CI009~~

摘　　要：无症状嗜铬细胞瘤约占肾上腺嗜铬细胞瘤的10%-17%,由于缺乏特殊的临床症状和体征,其定性及确定组织来源均比较困难,加之其往往有丰富的血供和供血来源极不规则,因此手术切除难度大.我院1例患者因反复右上腹隐痛伴腹胀2年,加重7d于2011-10-10入院.术前诊断为右上腹巨大肿瘤,于2011-10-18行血管介入结合手术切除,术后病理诊断为:嗜铬细胞瘤.Asymptomatic pheochromocytoma accounts for about 10%-17% of cases of adrenal gland pheo-chromocytoma. Due to the lack of specific clinical symptoms and signs, asymptomatic pheo-chromocytoma is often difficult to diagnose. As it often has a rich blood supply and blood supply source is extremely irregular, surgical excision is challenging. A patient was admitted to our hospital due to repeated right epigastric pain and abdominal distension for 2 years and aggravation for 7 days. A preoperative diagnosis of right upper quadrant abdominal huge tumor was made. He underwent vascular intervention and surgical excision, and postoperative pathologic analysis suggested pheochromocytoma.

关 键 词：嗜铬细胞瘤 影像学检查 介入 血管栓塞 

分 类 号：R736.6[医药卫生—肿瘤]