Petrolo A, Borrelli A, Presenti L, Valeri A, Borrelli D
Divisione di Chirurgia Generale e Vascolare, Azienda Ospedaliera di Careggi, Firenze.
G Chir. 1999 Jan-Feb;20(1-2):57-62.
The adrenal pheochromocytoma still arouses great interest among the experts. The Authors give here a report of a study carried out on the personal case history of 32 patients and the concerning literature. A correct clinical and diagnostic approach is important to detect, at a preoperative level, the benign forms from the malignant ones (10-15% of cases according to literature) and the polyendocrine syndromes (21% of our series). Video-laparoscopy technique is recommended in pheochromocytomas surgery, mainly in asymptomatic and incidental forms and in all benign symptomatic forms less than 5 cm in size. At least, uni- or bilateral adrenalectomy associated with total thyroidectomy is also suggested in case of a polyendocrine syndrome.
肾上腺嗜铬细胞瘤仍然引起专家们的极大兴趣。作者在此报告了一项针对32例患者的个人病史及相关文献进行的研究。正确的临床和诊断方法对于在术前区分良性和恶性形式（根据文献，10%-15%的病例为恶性）以及多内分泌综合征（我们系列中的21%）非常重要。推荐在嗜铬细胞瘤手术中采用视频腹腔镜技术，主要用于无症状和偶然发现的病例以及所有直径小于5厘米的良性有症状病例。至少，对于多内分泌综合征患者，还建议进行单侧或双侧肾上腺切除术并联合全甲状腺切除术。
