Extra-adrenal pheochromocytoma diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 10 Extra-adrenal pheochromocytoma diagnosis and treatment of Author: Zhao Monchaux Long Ma Hongjun Hao Cui Hao Lina Ma Chao-long Li Yafei [Abstract] Objective To improve the extra-adrenal pheochromocytoma diagnosis and treatment. Methods from 1986 to 2005 data integrity, and pathologically confirmed extra-adrenal pheochromocytoma 48. In which 43 patients with hypertension, hematuria in 6 cases, physical examination tumor was found in 3 cases. 48 cases of patients with urinary VMA and blood and urine catecholamines were elevated in 44 cases (91%) and 40 cases (83%). By B ultrasonic examination in all patients, the positive rate was 92%, by CT scan positive rate was 100%. 48 cases of patients underwent surgery. The results of 40 cases of resection of tumor, subcapsular tumor enucleation 8 cases. Tumor resection in diameter 2-9cm. Follow-up of 6 months -19 years, 43 cases of hypertensive patients with normal blood pressure after 31 cases, there are still two cases of high blood pressure. Tumor recurrence, metastasis, 6 cases of malignant pheochromocytoma in 12 cases, 7 died. Conclusion Urinary VMA and blood and urine catecholamines is a qualitative diagnosis of ectopic pheochromocytoma of the main basis, CT diagnosis of positioning accuracy of 131 I  iodo-benzyl guanidine inter-bit (131I  MIBG) positioning accuracy, high sensitivity, and can be used as therapeutic measures. Preoperative blood pressure, expansion, correct the arrhythmia is the key to successful operation, after abdominal surgery revealed a good pathway, tumor invasion outside the capsule can be made when enucleation, postoperative follow-up should be close. [Keywords:] Pheochromocytoma Diagnosis and treatment of extra-adrenal Diagnosis and treatment of extra  adrenal pheochromocytoma (report of 48 cases) ABSTRACT: Objective To highlight the diagnostic and therapeutic procedures for extra  adrenal pheochromocytoma. Methods 48 cases of extra  adrenal pheochromocyto