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嗜铬细胞瘤多数发生在肾上腺髓质;约10％发生在肾上腺以外嗜铬组织内,其中发生在膀胱者更为少见。Vatsala等,(1972年)蒐集各国文献,共见有膀胱嗜铬细胞瘤30例,其中恶性者3例。国内文献见有5例,其中1例为恶性。我院曾收治一例膀胱恶性嗜铬细胞瘤,现结合复习参考资料报告如下: 患者女,30岁,社员,因排尿后头痛、血压升高13年,于1976年4月17日入院。六年前因产后失血,症状加重,每次排尿后约1分钟出现头痛、胸闷、恶心、面色苍白,出冷汗、乏力,此时血压为180～200/140～
Most pheochromocytomas occur in the adrenal medulla; about 10% occur in the chromaffin tissue outside the adrenal glands, and it occurs more rarely in the bladder. Vatsala et al. (1972) collected literature from various countries and found that there were 30 cases of bladder pheochromocytoma, including 3 cases of malignant. There are 5 cases in domestic literature, of which 1 case is malignant. Our hospital had treated a case of malignant pheochromocytoma of the bladder. The reference report is now combined with the following review: A female patient, a 30-year-old member, was admitted to the hospital on April 17, 1976 after having had a headache and increased blood pressure for 13 years. Six years ago due to postpartum hemorrhage, the symptoms worsened, headaches, chest tightness, nausea, paleness, cold sweating, and fatigue occurred about 1 minute after each urination. At this time, blood pressure was 180 to 200/140.