Vázquez Sánchez J, Sánchez Torres G, Posadas Romero C
Instituto Nacional de Cardiología Ignacio Chávez, México, D.F.
Arch Inst Cardiol Mex. 1990 Jul-Aug;60(4):415-20.
The usefulness of different radiologic studies in localizing the tumor was evaluated in 26 patients with a firmly established diagnosis of pheochromocytoma. The site of the lesion was correctly identified in 8% of the cases by the plain abdominal x-ray films: in 11% by the plain thoracic films; in 34% by uronephrotomography; in 88% by angiography and in 6 patients (100%) in whom computed tomography scans (CT) were performed. The tumors were intra-adrenal in 19 patients and extra-adrenal in the remaining 7 cases. Of the latter, two were found in the organ of Zuckerkandl, two were abdominal para-aortic, two others in the para-aortic region of thorax, and one with intra an extra-adrenal tumors. It is concluded that CT scans are quite successful in preoperative localization of pheochromocytoma. The non-invasive nature of the technique makes it the method of choice in the anatomical localization of this type of tumors.
对26例已确诊为嗜铬细胞瘤的患者评估了不同放射学检查在肿瘤定位中的作用。腹部平片在8%的病例中正确识别了病变部位;胸部平片为11%;尿路造影断层摄影为34%;血管造影为88%;6例(100%)接受计算机断层扫描(CT)的患者中病变部位均被正确识别。19例患者的肿瘤位于肾上腺内,其余7例为肾上腺外肿瘤。在肾上腺外肿瘤中,2例位于嗜铬体,2例位于腹主动脉旁,另2例位于胸主动脉旁区域,1例同时有肾上腺内和肾上腺外肿瘤。结论是CT扫描在嗜铬细胞瘤的术前定位中相当成功。该技术的非侵入性使其成为这类肿瘤解剖定位的首选方法。