膀胱异位嗜铬细胞瘤的诊治

目的总结膀胱异位嗜铬细胞瘤的诊治经验。方法回顾性分析1998～2013年收治的13例膀胱异位嗜铬细胞瘤临床资料。男5例，女8例。年龄30～73岁，主要临床表现为：间歇性肉眼血尿、头痛、头晕、排尿晕厥、膀胱肿物等。结果13例均行膀胱部分切除术，术后均经病理证实为膀胱异位嗜铬细胞瘤。随访1个月-15年，未见肿瘤复发。结论膀胱异位嗜铬细胞罕见且易误诊，CT、膀胱镜检及1131-MIBG检查是重要的诊断方法。膀胱部分切除术是首选的治疗方法，预后良好。

Diagnosis and treatment of pheochromocytoma in bladder

Objective To summarize the experience in the diagnosis and treatment ofpheochmmocytoma in bladder. Methods The clinical data of 13 patients with pheochromocytoma in bladder from 1998-2013 in our hospital were retrospectively analyzed. 5 males and 8 females, aged from 30-73 years. Intermittent gross hematuria, headache, fainting during voiding and bladder mass were systoms of pheochromocytoma in bladder. Results 13 cases were treated with partial cystectomy, All the cases were pathologically diagnosed as pheochromocytoma in bladder. Follow-up time was 1 months to 15 years. No recurrence was found. Conclusion Pheochromocytoma in bladder is a rare neuroendocrine tumor which is hard to be accurately diagnosed. CT, cystoscopy and I131-MIBG are useful to locate the lesions. Partial cystectomy is the main therapy for Pheochromocytoma in bladder, and its prognosis is good.