膀胱嗜铬细胞瘤1例并文献复习

目的:探讨膀胱嗜铬细胞瘤的诊断和治疗。方法:报告1例膀胱嗜铬细胞瘤,结合文献资料复习讨论。结果:行膀胱部分切除术,病检证实为膀胱嗜铬细胞瘤。结论:血尿、高血压和排尿时典型发作三联征为膀胱嗜铬细胞瘤的主要症状,可应用B超、CT、MRI、131I-MIBG及膀胱镜作定位诊断,尿VMA和尿儿茶酚胺作定性诊断。手术切除是首选治疗方法,术后应密切随访。

Pheochromocytoma in urinary bladder: one case report and a review of literature

Objective:To study the diagnosis and treatment of pheochromocytoma in urinary bladder. Methods: One case of pheochromocytoma in urinary bladder was reported and the literatures were reviewed. Results: Partial cystectomy was performed in this case. This case was pathologically diagnosed as pheochromocytoma postoperatively. Conclusion: The typical symptoms of bladder pheochromocytoma consist of intermittent macrohematuria, hypertension and paroxysmal occurrence during micturition.B-ultrasound ,CT ,MRI, 131I-MIBG scintigraphy and cystoscopy have higher value in localizing the lesions. Urinary VMA and catecholamine detection is useful in quatitative diagnosis. Surgical excision of the tumor is the preferred management. Measuring the level of urinary catecholamine can monitor the recurrence or metastasis of the tumor.