论文部分内容阅读
目的分析嗜铬细胞瘤的临床特点,探讨其诊治方法。方法回顾性分析6例住院患者的临床资料,复习近年嗜铬细胞瘤诊治文献。结果6例患者中高血压5例,其中阵发性高血压4例,头痛3例,心悸2例,多汗2例,心悸并多汗1例,呈三联征者1例。有腹块者2例,血尿者2例,继发糖尿病1例。行生化检查者2例,超声检查6例及CT检查5例均为阳性。病变位于肾上腺者3例,其中右侧者2例;肾上腺外者3例,其中膀胱2例,腹主动脉旁1例。符合恶性3例,恶性瘤患者年龄较轻,2例异位。术前误诊3例,均为肾上腺外病变。5例手术,3例治愈。结论嗜铬细胞瘤临床表现缺乏特异性,易于误诊,对可疑患者进行敏感性高、特异性强的生化筛选是减少误诊的重要手段。
Objective To analyze the clinical features of pheochromocytoma and discuss its diagnosis and treatment. Methods The clinical data of 6 hospitalized patients were retrospectively reviewed, and the literature of diagnosis and treatment of pheochromocytoma in recent years was reviewed. Results There were 5 cases of hypertension in 6 cases, including 4 cases of paroxysmal hypertension, 3 cases of headache, 2 cases of heart palpitations, 2 cases of hyperhidrosis, 1 case of heart palpitations and hyperhidrosis, 1 case of triadic symptoms. There are 2 cases of abdominal mass, 2 cases of hematuria, 1 case of secondary diabetes. Biochemical tests in 2 cases, 6 cases of ultrasound and CT examination in 5 cases were positive. Lesions in the adrenal in 3 cases, of which 2 cases of the right; adrenal in 3 cases, including 2 cases of bladder, abdominal aorta in 1 case. In line with 3 cases of malignant, malignant patients younger age, 2 cases of ectopic. Preoperative misdiagnosis in 3 cases, all extra-adventitial lesions. 5 cases of surgery, 3 cases of cure. Conclusion The clinical manifestations of pheochromocytoma are not specific and easily misdiagnosed. Biochemical screening of suspicious patients with high sensitivity and specificity is an important means to reduce misdiagnosis.