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成功切除侵犯腹腔干的无功能副神经节瘤并进行肝总动脉再植术——病例报告及文献综述

Successful Resection of a Non-functional Paraganglioma with Celiac Trunk Invasion Followed by Common Hepatic Artery Reimplantation - A Case Report and Literature Review.

作者信息

Bacalbasa Nicolae, Balescu Irina, Tanase Alina, Brezean Iulian, Vilcu Mihaela, Brasoveanu Vladislav

机构信息

"Carol Davila" University of Medicine and Pharmacy, Center of Excellence in Translational Medicine - Fundeni Clinical Institute, Bucharest, Romania.

"Ponderas" Academic Hospital, Bucharest, Romania

出版信息

In Vivo. 2018 Jul-Aug;32(4):911-914. doi: 10.21873/invivo.11328.

Abstract

Paragangliomas, as well as phaeochromocytomas, are vascular neuroendocrine lesions that might be encountered between neck and pelvis. In certain cases, a preoperative diagnosis is difficult to be established, so resection might be needed whenever a suspect mass is discovered at the imaging studies. Moreover, there are cases in which resection and reconstruction of an important vascular structure might be imposed. In this case report a 59-year-old patient was investigated for upper abdominal pain with postprandial features and was diagnosed with a retroperitoneal tumor of 4/6/7cm invading the celiac trunk. The tumor was successfully resected and the common hepatic artery was reinserted in the celiac stump.

摘要

副神经节瘤以及嗜铬细胞瘤都是血管性神经内分泌病变,可出现在颈部至骨盆之间的部位。在某些情况下,术前诊断很难确立,所以一旦在影像学检查中发现可疑肿块,可能就需要进行切除。此外,有些病例可能需要对重要血管结构进行切除和重建。在本病例报告中,一名59岁患者因上腹部餐后疼痛接受检查,被诊断出患有一个4/6/7厘米大小的腹膜后肿瘤,该肿瘤侵犯了腹腔干。肿瘤被成功切除,肝总动脉被重新植入腹腔残端。

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