膀胱嗜铬细胞瘤1例诊治并文献复习  

Diagnosis and treatment of pheochromocytoma in urinary bladder(One case report and literature review)

作　　者：汪群锋[1] 梁朝朝[2] 朱劲松[1] 陈志洁[1] 戴宇红[1] 鲍彤[1] 

机构地区：[1]安庆市立医院安徽医科大学附属安庆医院泌尿外科,246003 [2]安徽医科大学附属第一医院泌尿外科

出　　处：《现代泌尿生殖肿瘤杂志》2017年第5期278-280,共3页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨膀胱嗜铬细胞瘤的诊治方法.方法回顾性分析安庆市立医院泌尿外科2014年11月诊治的1例膀胱嗜铬细胞瘤患者的临床资料.结果患者因“体检镜下血尿1月余”入院,泌尿系B超、盆腔CT及MRI示膀胱前顶壁占位灶.于全麻下行膀胱肿瘤电切术,电切除部分肿物时,血压急剧升高至225/114mmHg,考虑为嗜铬细胞瘤,改行膀胱部分切除;肿物切除时,患者术中血压-度下降至90/60mmHg.术中、术后按嗜铬细胞瘤处理,痊愈出院.手术标本经病理及免疫组化证实为膀胱嗜铬细胞瘤.随访30个月,患者血压正常.结论膀胱嗜铬细胞瘤临床罕见,典型症状为血尿、排尿时头晕、心慌、血压升高,甚至晕厥,可借助B超、CT、MRI定位诊断,手术切除是首选治疗方法,术后应密切随访.Objective To improve the diagnosis and the treatment of pheochromocytoma in urinary bladder. Methods The patient treated in November 2014 was included. Results Microhematuria was found in the prior month,and the positive mass was found by B-ultrasound,CT and MRI examination during hospitalization in this case.TURBT was performed under general anesthesia.However,blood pressure increased sharply to 225/114 mmHg during the procedure,then partial prostatectomy was performed.During the procedure of tumor resection,blood pressure dropped to 90/60 mmHg.Pheochromocytoma was confirmed postoperatively by histologic appearance.Blood pressure was normal after 30 months followed-up period. Conclusions The typical symptoms of bladder pheochromocytoma were hematuria,paroxysmal dizziness,palpitation and hypertension during micturition.B-ultrasound,CT,MRI have higher diagnostic value in localizing the lesions.Surgical excision of the tumor is the preferred management and a close follow-up plan is needed after surgery.

关 键 词：膀胱嗜铬细胞瘤 诊断 治疗 

分 类 号：R737.14[医药卫生—肿瘤;医药卫生—临床医学]