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儿科新生物的临床症状,可能只是肿瘤分泌激素所引起的。如嗜铬细胞瘤之高血压,分泌ACTH肿瘤之库兴氏综合征,因分泌甲状旁腺激素而有甲状旁腺机能亢进,成神经细胞瘤之眼—小脑—肌阵挛综合征。本文三例儿童隐匿性激素分泌性肿瘤,用他种图象检查未能对肿瘤定位而应用CT 的。作者认为CT 为首选的图象检查方法。病例报告:例1。男孩,10岁,因剧吐继而癫痫发作及偏瘫而就诊,血压150/120毫米汞柱,24小时尿正肾上腺素及香草杏仁酸(VMA)增高,静注尿路造影显示右肾盂及输尿管积水。膀胱造影及肾闪烁照相未查出尿路梗阻的原因。腹部及盆腔CT 表明紧靠右侧梨状肌处有3厘米大小肿物,压迫膀胱右后
The clinical symptoms of new pediatrics may be caused by the secretion of hormones from the tumor. For hypertensive pheochromocytoma, Cushing’s syndrome, which secretes ACTH tumors, hyperparathyroidism due to secretion of parathyroid hormone, and ocular-cerebello-myoclonus syndrome of neuroblastoma. In this article, three cases of occult hormonal secretory tumors in children were diagnosed with CT images because of inability to locate the tumor with other images. The authors believe that CT is the preferred method of image examination. Case report: Example 1. Boy, 10 years old, presents with sputum followed by seizures and hemiplegia, blood pressure 150/120 mm Hg, 24-hour urine Norepinephrine and vanillyl-mandelic acid (VMA) increased, intravenous urography showed right pelvis and ureter volume water. Cystography and renal scintigraphy did not detect the cause of urinary tract obstruction. Abdominal and pelvic CT showed a 3 cm mass immediately adjacent to the right piriformis, pressing the right side of the bladder