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随着临床认识和诊断方法的提高,嗜铬细胞瘤的病例不断被发现,疗效也有改善。本文总结我院30例(肾上腺内25例,计左侧9例,右侧13例,双侧3例)手术治疗后经病理检查的各类型嗜铭细胞瘤,着重讨论其治疗和体会。各类型嗜铬细胞瘤的治疗一、肾上腺外的嗜铬细胞瘤:共5例,其中膀胱3例,主动脉分叉处2例。膀胱嗜铬细胞瘤的典型症状为膀胱胀满或排尿时血压骤然升高,此时测定血糖升高及尿儿茶酚胺定性检查阳性,苄胺唑啉抑制试验阳性。本组共3例,1例为恶性嗜铬细胞瘤,主要表现间歇性血尿及高血压;1例为排尿时阵发性高血压,但无血尿;另1例仅有血尿无高血压,术前难与膀胱移行上皮癌相鉴别,但膀胱镜检前者发生于粘膜下间质组织,早期病灶未侵及粘膜,窥胱仅可见肿物自粘膜下向胱腔突出;较晚肿瘤较
With the improvement of clinical knowledge and diagnostic methods, cases of pheochromocytoma have been continuously discovered and the efficacy has improved. This article summarized 30 cases (25 cases in the adrenal gland, 9 cases in the left side, 13 cases in the right side, and 3 cases in both sides) in our hospital. After the surgical treatment, all types of melanocytic tumors were pathologically examined, focusing on their treatment and experience. Treatment of various types of pheochromocytoma 1. Adrenal pheochromocytoma: 5 cases in total, including 3 cases of bladder and 2 cases of aortic bifurcation. The typical symptom of pheochromocytoma of the bladder is a sudden increase in blood pressure when the bladder is full or when urinating. At this time, the blood glucose level and urinary catecholamine qualitative test are positive, and the benzylamino-azoline inhibition test is positive. This group of a total of 3 cases, 1 case of malignant pheochromocytoma, mainly intermittent hematuria and hypertension; 1 case of paroxysmal hypertension during urination, but no hematuria; the other case only hematuria without hypertension, surgery The former is difficult to distinguish from bladder transitional epithelial carcinoma, but the former occurs in the submucosa and interstitial tissue. The early lesions do not invade the mucous membranes. The pharmas only show tumors protruding from the submucosal cyst cavity;