嗜铬细胞瘤的诊断问题：附14例分析

本文分析经手术、病理确诊嗜铬细胞瘤14例,其中2例恶性,肿瘤在肾上腺者11例,肾上腺外者3例,主要表现为高血压和代谢紊乱,呈阵发性高血压11例,持续性高血压3例。阵发性高血压的发作日及持续性高血压者VMA均增高。儿茶酚胺的测定有一定意义,肾上腺区B超检查可为首选定位诊断方法,临床高度怀疑属肾上腺嗜铬细胞者,CT检查有较高的诊断价值。本文就嗜铬细胞瘤的诊断进展略加讨论。

Clinical Analysis of 14 Cases of Pheochromocytoma

Fourteen cases of pheochromocytoma confirmed by operation and/or by pathology were analysed. In 2 cases the tumor was malignant. Eleven tumors were located in the adrenal gland, while 3 were extra-adrenal. The chief clinical manifestations were hypertention and metabolic disturbances (paroxysmal hypertension in 11, persistent hypertension in 3, elevated VMA in all). Ultrasonography can be used as first measure in localization of tumor. For patients who have evidences highly suspicious of pheochromocytoma, the Gamma imaging, CT scan and selective adrenal arteriogram have special diagnostic value. Recent advances in diagnosis of pheochromocytoma are also discussed.