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[儿童嗜铬细胞瘤的标准诊断与治疗]

[Standard diagnosis and therapy of pheochromocytoma in children].

作者信息

Meier H, Meyer S, Willital G H

机构信息

Kinderchirurgische Universitätsklinik Münster.

出版信息

Z Kinderchir. 1989 Jun;44(3):148-52. doi: 10.1055/s-2008-1043222.

Abstract

Phaeochromocytomas are rare in childhood. Only 5 to 10% of these neoplasms become manifest during the first two decades of life. Before puberty the incidence of phaeochromocytoma in boys is twice than in girls. Phaeochromocytoma is successfully treated only by surgery. A standardised concept of therapy is important; it should comprise the following points: 1. Diagnosis as early as ever possible. 2. Improved diagnosis of localisation via ultrasound, scintigraphy and computed tomography. 3. Standardised perioperative drug therapy in cooperation by the paediatric surgeon with the anaesthesiologist and paediatrician. If these guidelines are observed, the prospects of cure are 95-100% in case of chromaffin tumours.

摘要

嗜铬细胞瘤在儿童期较为罕见。这些肿瘤仅有5%至10%在生命的头20年出现症状。青春期前,男孩嗜铬细胞瘤的发病率是女孩的两倍。嗜铬细胞瘤只有通过手术才能成功治疗。标准化的治疗理念很重要;它应包括以下几点:1. 尽早诊断。2. 通过超声、闪烁扫描和计算机断层扫描改进定位诊断。3. 小儿外科医生与麻醉师和儿科医生合作进行标准化的围手术期药物治疗。如果遵循这些指导原则,嗜铬细胞瘤的治愈前景在95%至100%。

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