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頁籤選單縮合
題名 | 惡性嗜鉻細胞瘤--病例報告=Malignant Pheochromocytoma: Case Report |
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作者 | 黃國良; 張高耀; 項正川; Huang, Kuo-liang; Chang, Kao-yao; Shiang, Jeng-chuan; |
期刊 | 安泰醫護雜誌 |
出版日期 | 20110300 |
卷期 | 17:1 2011.03[民100.03] |
頁次 | 頁45-54 |
分類號 | 415.934 |
語文 | chi |
關鍵詞 | 嗜鉻細胞瘤; 腎上腺; 癌症; Malignant pheochromocytoma; Adrenal gland; Cancer; |
中文摘要 | 嗜鉻細胞瘤(pheochromocytoma)顧名思義就是從嗜鉻細胞增生所形成的腫瘤。最早提出嗜鉻細胞瘤是1886年的Frankel。嗜鉻細胞瘤惡性化的表現相對較少,約佔10%。良性與惡性在組織學與生化學上的特性不易區分。目前公認上惡性嗜鉻細胞瘤的確定診斷只有病理上出現周邊的侵犯或遠端轉移,所以很難提早診斷。資料顯示最久的轉移有於手術切除後二十年出現轉移現象,故不論良性或惡性,長期追蹤皆有其必要性。惡性嗜鉻細胞瘤最佳的治療還是手術切除,所以早期診斷早期治療還是不變的金玉良言。目前不斷地從基因學、病理學、生化學的角度提出許多方案來達到早期診斷的目的。這次藉著一個個案的分析來探討目前針對嗜鉻細胞瘤的良性或惡性之診斷與治療。 |
英文摘要 | Pheochromocytoma is the proliferation of chromaffin cell-formed tumors. Pheochromocytoma was first recorded in 1886 by Frankel. Malignant pheochromocytoma is relatively rare, accounting for approximately 10% of cases. In benign and malignant pheochromocytoma, the histological and biochemical characteristics were indistinguishable. Currently, the pathological definition of malignant pheochromocytoma is a local invasion or distal metastasis, and early diagnosis it is difficult. This study indicated that the distal metastasis occurs 20 years after surgical resectioning whether benign or malignant, necessitating long-term follow up. The best treatment for malignant pheochromocytoma is surgical resectioning, early diagnosis, and early treatment. Therefore, this study examines the genetics, pathology, and biochemistry to suggest several solutions to enable early diagnosis. This study analyszes a case of pheochromocytoma to present the diagnosis and treatment methods of benign and malignant pheochromocytomas. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。