Virseda Rodríguez J A, Martínez Ruiz J, Carrión López P, Martínez Sanchiz C, Donate Moreno M J, Pastor Navarro H, Hernández López A
Servicio de Urología, Complejo Hospitalario Universitario de Albacete, Albacete, España.
Actas Urol Esp. 2010 Nov;34(10):888-92.
We present 18 patients with pheochromocytoma in the past 12 years.
It is a retrospective observational study evaluating the clinical, biochemical and pathological most important.
The mean age was 53.5 years with male predominance and monitoring of five years, being the most frequent incidental findings (29%). Four patients had a familial syndrome hereditary. The tumors were equally distributed with a bilateral case. For the clinical study was made and plasma catecholamines and metanephrines in urine for 24h and subjected to control blood pressure before surgery and beta blockers. Until the introduction of laparoscopic surgery in our department in 2003, the treatment of choice was open surgery. Transabdominal subcostal access was more frequent (47%) and average duration of 207 min. No patients showed metachronous tumors and two patients developed distant metastases to death in short time.
Pheochromocytoma in a threatening disease by cardiovascular disease, which needs to perform an analytical and functional. Surgical treatment, by open or laparoscopic surgery, depending on the characteristics of the tumor and the patient, is satisfactory and comparable results.
我们呈现过去12年中18例嗜铬细胞瘤患者的情况。
这是一项回顾性观察研究，评估临床、生化及病理方面最重要的内容。
平均年龄为53.5岁，男性居多，随访5年，最常见的是偶然发现（29%）。4例患者有家族性遗传综合征。肿瘤分布均匀，有1例双侧病例。进行了临床研究，检测了24小时尿儿茶酚胺和甲氧基肾上腺素，并在手术前及使用β受体阻滞剂前测量了血压。在2003年我们科室引入腹腔镜手术之前，首选的治疗方法是开放手术。经腹肋下入路更为常见（47%），平均手术时长为207分钟。没有患者出现异时性肿瘤，2例患者短期内发生远处转移并死亡。
嗜铬细胞瘤是一种因心血管疾病而具有威胁性的疾病，需要进行分析和功能检查。根据肿瘤和患者的特点，采用开放手术或腹腔镜手术进行外科治疗，效果令人满意且结果相当。
