Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Department of Surgery, The Ohio State University, Columbus, OH, USA.
Ann Surg Oncol. 2020 May;27(5):1338-1347. doi: 10.1245/s10434-020-08221-2. Epub 2020 Feb 28.
This is the second part of a two-part review on pheochromocytoma and paragangliomas (PPGLs). In this part, perioperative management, including preoperative preparation, intraoperative, and postoperative interventions are reviewed. Current data on outcomes following resection are presented, including outcomes after cortical-sparing adrenalectomy for bilateral adrenal disease. In addition, pathological features of malignancy, surveillance considerations, and the management of advanced disease are also discussed.
这是关于嗜铬细胞瘤和副神经节瘤(PPGLs)的两部分综述的第二部分。在这一部分中,回顾了围手术期管理,包括术前准备、术中及术后干预。介绍了目前关于切除术后结果的数据,包括双侧肾上腺疾病行保留皮质肾上腺切除术的结果。此外,还讨论了恶性肿瘤的病理特征、监测注意事项以及晚期疾病的治疗。