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頁籤選單縮合
題名 | Malignant Pheochromocytoma of the Adrenal Gland: A Case Report and Review of the Literature=惡性嗜鉻細胞瘤:病例報告及文獻回顧 |
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作者姓名(中文) | 周勝傑; 傅延宗; 劉煥昀; 徐簡訊; 胡非力; | 書刊名 | 醫學研究 |
卷期 | 21:2 2001.04[民90.04] |
頁次 | 頁114-118 |
分類號 | 416.273 |
關鍵詞 | 腎上腺腫瘤; 嗜鉻細胞瘤; Adrenal gland tumor; Pheochromocytoma; |
語文 | 英文(English) |
中文摘要 | 惡性嗜鉻細胞瘤是少見的疾病,典型徵候有頭痛、心悸和盜汗。最先發生的症狀為高血壓。 我們報告一位44歲男性患者,入院主訴為在健康檢查中發現微觸痛性、圓形之腹內腫瘤。一系列檢查發現在左側腎上區域有邊緣不規則、中心壞死的病灶且二十四小時尿液中香草扁桃酸為37.8毫克。病患接受剖腹術切除腫瘤及左腎。最終的臨床病理診斷為左側腎上腺嗜鉻細胞瘤併侵犯至左腎。此病患仍定期於門診追蹤,健康情形良好。文中並作文獻回顧。 |
英文摘要 | Pheochromocytoma is a rare urological disease. The "classic triad" consists of headache, palpitation, and diaphoresis. Hypertension is the leading clinical manifestation. Herein, we report a 44-year-old male who was admitted with the chief complaint of knowing to have an intra-abdominal tumor in a general healthy examination. A series of studies were done which revealed: 1) A huge ill-defined, central necrotic lesion occupied the left supra-renal area; 2) Vanillymandelic acid: 37.8 mg/24 hrs urine. Exploratory laparotomy with adrenalectomy and nephrectomy via Chevron incision was done. The final clinic pathological diagnosis was pheochromocytoma of left adrenal gland with left kidney invasion. So far, this patient has been regularly followed at our outpatient clinic with a stable condition. The literatures were reviewed. |
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