嗜铬细胞瘤的临床诊治(附112例报道)

Management of Pheochromocytoma(a Report of 112 Cases)

目的:探讨嗜铬细胞瘤的临床诊治经验。方法:分析1980-2004年收治的112例嗜铬细胞瘤。临床表现为高血压者96例(85.7%),105例接受尿VMA检查,阳性者90例(85.7%)。B超,CT,MRI的定位诊断准确率分别为90%,95%,100%。结果:全部病例均经手术和病理证实,其中良性100例(90%),恶性12例(10%),肿瘤位于肾上腺者91例(86%),异位嗜铬细胞瘤11例(14%)。结论:术前必须充分准备,手术切除肿瘤是根本的治疗方法。

Objective; To discuss the clinical management procedures of pheochromocytoma. Methods: A total of 112 patients with pheo-chromocytoma was operated from 1980 to 2004, % patients(85. 7%) had hypertension. 105 patients underwent urinary VMA test with positive rate of 85. 7%. The accuracy rate of location of B ultrasonography ,CT and MRI were 90% .95% and 100% respectively. Results; The pheochromocytoma was benign in 100 patients(90%) and malignant in 12 patients(10%). The lesions located only at adrenal gland in 91(86%), ectopic lesions in 11 patients(14%). Conclusion:The surgical ablation thoroughly was the only means to cure pheochromocytoma and preoperative prepation was critical for success operation.