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本文报告了我院于1958~1994年收治的231例嗜铬细胞瘤。临床资料显示,肿瘤位于肾上腺173例(75%),肾上腺外58例(25%)。恶性嗜铬细胞瘤28例,其中位于肾上腺7例(25%),肾上腺外21例(75%).本组中有7例(3%)表现为无临床症状的静止型嗜铬细胞瘤。提出了对这些病例的处理原则。对潜在儿茶酚胺性心肌病的防治,可减少手术死亡率。恶性嗜铬细胞瘤的诊断要靠长期的严密随访。
This article reports 231 cases of pheochromocytoma treated in our hospital from 1958 to 1994. Clinical data showed that the tumor was located in 173 cases (75%) in the adrenal glands and 58 cases (25%) in the adrenal glands. Malignant pheochromocytoma in 28 cases, which located in the adrenal gland in 7 cases (25%), extra-adrenal in 21 cases (75%). Seven patients (3%) in this group showed no clinical symptoms of resting pheochromocytoma. The principle of handling these cases was proposed. The prevention of potential catecholamine cardiomyopathy can reduce operative mortality. The diagnosis of malignant pheochromocytoma depends on long-term follow-up.