巨大嗜铬细胞瘤患者择期手术期间的严重血流动力学不稳定：一例报告
Severe hemodynamic instability during elective surgery for a patient with a giant pheochromocytoma: A case report.
作者信息
Hu J Y, Wang C, Wang H B, Chen P X, Zhen Z J, Lau W Y
机构信息
Department of Hepatopancreas Surgery, The First People's Hospital of Foshan, Guangdong, China.
Department of Anesthesiology, The First People's Hospital of Foshan, Guangdong, China.
出版信息
Int J Surg Case Rep. 2019;56:59-62. doi: 10.1016/j.ijscr.2019.01.021. Epub 2019 Jan 30.
INTRODUCTION
We present a patient with a huge pheochromocytoma who ran a stormy intraoperative course.
PRESENTATION OF CASE
A 57-year-old woman underwent elective open surgery for a giant pheochromocytoma (16 × 15 × 10 cm) after adequate preoperative medical preparation. The patient developed severe hypertension on tumor mobilization followed bylife-threatening hypotensionwhen the tumor was removed. The hemodynamic instability was successfully managed. Histology showed a pheochromocytomawith tumor-free resection margins. The patient fully recoveredandthe hypertension completely resolved after the operation.
DISCUSSION
This is a rare and educational case report on a patient with a huge pheochromocytoma who was successfully managed by a multidisciplinary team of specialists.
CONCLUSION
Pheochromocytoma should be resected if technically possible. A multidisciplinary team approach is required for proper management.
引言
我们报告一例患有巨大嗜铬细胞瘤的患者，其术中过程波折。
病例介绍
一名57岁女性在经过充分的术前药物准备后，因巨大嗜铬细胞瘤（16×15×10厘米）接受了择期开放手术。在肿瘤游离过程中患者出现严重高血压，肿瘤切除时出现危及生命的低血压。血流动力学不稳定得到成功处理。组织学检查显示为嗜铬细胞瘤，切缘无肿瘤残留。患者术后完全康复，高血压完全缓解。
讨论
这是一份关于一名患有巨大嗜铬细胞瘤的患者的罕见且有教育意义的病例报告，该患者由多学科专家团队成功治疗。
结论
如果技术上可行，嗜铬细胞瘤应予以切除。需要采用多学科团队方法进行妥善管理。
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