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老年患者复发性嗜铬细胞瘤。

Recurrent Pheochromocytoma in an Elderly Patient.

机构信息

Loyola Medical Center/Edward Hines, Jr. VA Hospital, Maywood, IL 60141, USA.

出版信息

Medicina (Kaunas). 2020 Jun 26;56(6):316. doi: 10.3390/medicina56060316.

Abstract

Pheochromocytomas are rare neuroendocrine tumors that can affect people of all ages and are commonly diagnosed in the 4th and 5th decades of life. Familial pheochromocytomas are diagnosed mostly between the 2nd and 3rd decades of life. They can be benign or metastatic and often present as isolated tumors or along with other neuroendocrine syndromes. We present a case of an elderly man who underwent laparoscopic adrenalectomy for pheochromocytoma at the age of 60 years but developed recurrence of metastatic pheochromocytoma after ten years. We also conducted a literature review to understand the epidemiology and presentation of the tumor and to emphasize that there should be a low threshold of suspicion for timely diagnosis and management of recurrent pheochromocytoma.

摘要

嗜铬细胞瘤是一种罕见的神经内分泌肿瘤,可发生于所有年龄段人群,常见于 40 至 50 岁。家族性嗜铬细胞瘤的诊断年龄大多在 20 至 30 岁。嗜铬细胞瘤可为良性或转移性,常表现为孤立性肿瘤或伴有其他神经内分泌综合征。我们报告了 1 例 60 岁老年男性,因嗜铬细胞瘤行腹腔镜肾上腺切除术,但 10 年后发生转移性嗜铬细胞瘤复发。我们还进行了文献复习,以了解该肿瘤的流行病学和表现,并强调应保持警惕,及时诊断和治疗复发性嗜铬细胞瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0500/7353891/374db6132d47/medicina-56-00316-g001.jpg

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