Poiană C, Chiriţă C, Carşote M, Bulata R, Iosif C, Petrescu R, Verzea S, Stanescu B
University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.
Chirurgia (Bucur). 2009 Nov-Dec;104(6):753-6.
We report the case an asymptomatic patient who underwent left adrenalectomy for a incidentally discovered large, cystic adrenal tumor. The patient presented no hypertension before or during the intervention. The hystopatological exam revealed a pheochromocytoma, with signs suggesting malignancy. One year after the surgery, the patient is still asymptomatic, the metanephrine levels are normal, and the 1231-metaiodobenzylguanidine scintigraphy showed no metastases. The indications and limits of laparoscopic adrenalectomy are presented.
我们报告了一例无症状患者，该患者因偶然发现的巨大囊性肾上腺肿瘤接受了左肾上腺切除术。患者在干预前和干预期间均未出现高血压。组织病理学检查显示为嗜铬细胞瘤，有提示恶性的迹象。手术后一年，患者仍无症状，间甲肾上腺素水平正常，123I-间碘苄胍闪烁显像未显示转移。本文介绍了腹腔镜肾上腺切除术的适应证和局限性。
