| 嗜铬细胞瘤临床诊治 |
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| 引用本文： | Zhu Y,Wu Y,Liu D,Sun F. 嗜铬细胞瘤临床诊治[J]. 中华外科杂志, 2000, 38(11): 852-854 |
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| 作者姓名： | Zhu Y Wu Y Liu D Sun F |
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| 作者单位： | 上海瑞金医院泌尿外科 |
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| 摘 要： | 目的 提高嗜铬细胞瘤的诊治水平。方法 总结１９５８年至１９９８年间经手术和病理证实的嗜铬细胞瘤２８６例。结果 本组２２０例患者肿瘤位于肾上腺,６６例位于肾上腺外。在２９例恶性嗜铬细胞瘤中,７例位于肾上腺,２２例位于肾上腺外。１９例为静止型嗜铬细胞瘤。手术切除肿瘤２８１例。结论 对潜在的儿茶酚胺性心肌病的防治可降低手术死亡率。恶性嗜铬细胞瘤的诊断要靠长期严密的随访。
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| 关 键 词： | 嗜铬细胞瘤 诊断 治疗 |
| 修稿时间： | 1999-11-25 |
Diagnosis and treatment of pheochromocytoma |
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| Zhu Y,Wu Y,Liu D,Sun F. Diagnosis and treatment of pheochromocytoma[J]. Chinese Journal of Surgery, 2000, 38(11): 852-854 |
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| Authors: | Zhu Y Wu Y Liu D Sun F |
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| Affiliation: | Department of Urology, RuiJin Hospital Shanghai Second Medical University, Shanghai 200025, China. |
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| Abstract: | OBJECTIVE: To improve the diagnosis and treatment of pheochromocytoma. METHODS: From 1958 to 1998, 286 cases of pheochromocytoma, confirmed by open surgery and pathology, were retrospectively analyzed. RESULTS: The tumors in the adrenal gland were seen in 220 cases, and in the external adrenal gland in 66. Of 29 cases of malignant pheochromocytomas, 7 were noted in the adrenal and 22 in the external adrenal gland. 19 cases showed stationary pheochromocytomas without clinical features. Total resections were performed in 281 cases. CONCLUSION: The operative mortality could be reduced by the prevention of potential myocardiopathy. The diagnosis of malignant pheochromocytoma should depend upon the long-term follow up. |
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| Keywords: | Pheochromocytoma Diagnosis |
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