腹膜后静止型副神经节细胞瘤的临床诊治.pdfVIP

2008 6 June 2008 28 6 Basic ClinicalMedicine Vo.l 28No. 6 : 2008) 06064 605 * 文 进 , 李汉忠, 石冰冰 ( , 100730) : 1997 104 2~ 4 3, 7 , 131 IM IBG4, 6 , 3~ 15 cm: 7, 3: cgA ( + ), syn ( + ), NSE( + ), s100( + ) 1 1 , , , : ; ; : R 73 : A D iagnosis and treatm ent of stationary paraganglioma in retroperitoneum * WEN Jin , LIH anzhong, SH I Bingbing ( Department ofU rology, PUMCHospital, CAMU PUMC, Beijing 100730, China) Abstract: Objective To highlight the diagnose and treatm ent of stationary paraganglioma in retroperitoneum. Methods Ten cases of stationary m edullary chromaffinoma of retroperitoneum proven pathologically from 1997 to 2007 ere revie ed and sutdied. Hypertension ere not observed in all patients, ho ere adm itted to hospital 131 through routine phisical exam ination. Endocrine secretion exam inations, BUS, CT, MRI, IM IBG, and octreoti de ere used to dianose the diease. Among all10 patients, 4 cases took receptor blocker for 2~ 4 eeks preoper atively. 3 ere operated laparoscopically, 7 ere operated ith lumber incision. Results H ypertension and urinary catecholam ine as usually normal or elevated lightly in stationary m edullary chromaffinoma of retroperitoneum. 131and octreotide have high sensitivity and accuracy in diagosing medullary chromaffinom a. 4 ere near renal hilum, 6 as in paraaorta. They ere from 3 cm to 15 cm in size. The results of pathology ere paraganglioma in 7