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本院1956—1977年收治经手术证实之嗜铬细胞瘤10例及外院会诊2例,共计12例。其中男性6例、女性6例。发病年龄20—50岁占9例。最幼15岁,最老54岁。症状出现时间2月至13年不等。高血压类型:持续性3例,阵发性7例,高血压史不详2例。肿瘤部位在肾上腺内6例,其中右侧4例,左侧2例。在肾上腺外6例,其中腹主动脉旁5例,颅内1例。经病理检查9例为良性嗜铬细胞瘤,2例为恶性嗜铬细胞瘤,另1例未作病理检查。结果手术死亡2例。余8例高血压患者中7例切除肿瘤后血压均明显下降。1例肿瘤未切除,因肿瘤和腹主动脉粘连紧密,术前诊断不清,
In our hospital from 1956 to 1977, 10 cases of pheochromocytoma confirmed by surgery were treated and 2 cases were diagnosed in the outer court, a total of 12 cases. There were 6 males and 6 females. Incidence age 20-50 years accounted for 9 cases. The youngest is 15 years old and the oldest is 54 years old. Symptoms occur between February and 13 years. Types of hypertension: persistent in 3 cases, paroxysmal in 7 cases, history of hypertension is unknown in 2 cases. The tumor site was in the adrenal gland in 6 cases, including 4 cases on the right side and 2 cases on the left side. There were 6 cases outside the adrenal gland, 5 cases were abdominal aorta and 1 was intracranial. 9 cases were benign pheochromocytoma, 2 cases were malignant pheochromocytoma, and 1 case was not pathological examination. Results 2 cases died of surgery. Of the 8 hypertensive patients, blood pressure decreased significantly after resection of the tumor in 7 patients. In 1 case, the tumor was not removed due to tight adhesion of the tumor and abdominal aorta. The preoperative diagnosis was unclear.