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隐匿性嗜铬细胞瘤的围手术期管理挑战：一例病例报告及文献综述

Perioperative Management Challenges in Silent Pheochromocytoma: A Case Report and Literature Review.

作者信息

Lin Kai, Li Xuan, Guo Tian, Zhong Haixing

机构信息

Department of Anesthesiology and Perioperative Medicine, Xijing Hospital The Fourth Military Medical University Xi'an China.

Shaanxi Provincial Clinical Research Center for Anesthesiology Medicine Xi'an China.

出版信息

Clin Case Rep. 2025 Apr 6;13(4):e70396. doi: 10.1002/ccr3.70396. eCollection 2025 Apr.

DOI:10.1002/ccr3.70396
PMID:40196048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11972976/
Abstract

Silent pheochromocytomas, frequently misdiagnosed as nonfunctioning adrenal adenomas, carry a high risk of perioperative hemodynamic instability. This case underscores the importance of thorough preoperative biochemical screening, proactive anesthetic strategies, and continuous intraoperative monitoring. Effective multidisciplinary management is crucial to prevent life-threatening complications and achieve optimal surgical outcomes.

摘要

无症状嗜铬细胞瘤常被误诊为无功能肾上腺腺瘤，具有围手术期血流动力学不稳定的高风险。该病例强调了术前全面生化筛查、积极的麻醉策略及持续术中监测的重要性。有效的多学科管理对于预防危及生命的并发症及实现最佳手术效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/aa3ad81fc002/CCR3-13-e70396-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/16963eba00a5/CCR3-13-e70396-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/42bcce13cc06/CCR3-13-e70396-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/0f5217a8de0f/CCR3-13-e70396-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/50fad910b9ac/CCR3-13-e70396-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/aa3ad81fc002/CCR3-13-e70396-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/16963eba00a5/CCR3-13-e70396-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/42bcce13cc06/CCR3-13-e70396-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/0f5217a8de0f/CCR3-13-e70396-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/50fad910b9ac/CCR3-13-e70396-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88b2/11972976/aa3ad81fc002/CCR3-13-e70396-g002.jpg

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本文引用的文献

1
Silent pheochromocytoma in adrenal incidentaloma: unveiling clinical and radiological characteristics.肾上腺偶发瘤中的无症状嗜铬细胞瘤：揭示临床和放射学特征
Ann Surg Treat Res. 2024 Jan;106(1):38-44. doi: 10.4174/astr.2024.106.1.38. Epub 2023 Dec 28.
2
Tumor-to-Tumor Metastasis of Medullary Thyroid Carcinoma to Paraganglioma in a Multiple Endocrine Neoplasia Type 2B Patient: A Case Report and Literature Review.多内分泌腺瘤病 2B 患者甲状腺髓样癌至副神经节瘤的肿瘤对肿瘤转移：病例报告及文献复习。
Tohoku J Exp Med. 2023 Sep 20;261(1):75-81. doi: 10.1620/tjem.2023.J058. Epub 2023 Jul 20.
3
Pheochromocytomas Most Commonly Present As Adrenal Incidentalomas: A Large Tertiary Center Experience.
嗜铬细胞瘤最常表现为肾上腺偶发瘤：一家大型三级中心的经验。
J Clin Endocrinol Metab. 2023 Dec 21;109(1):e389-e396. doi: 10.1210/clinem/dgad401.
4
Unusual presentation of a rare catecholamine-secreting sinonasal paraganglioma.罕见的嗜铬性鼻-鼻窦副神经节瘤的不常见表现。
BMJ Case Rep. 2023 May 2;16(5):e254848. doi: 10.1136/bcr-2023-254848.
5
Primary hepatic paraganglioma with megacolon: A case report.原发性肝副神经节瘤合并巨结肠：一例报告。
Oncol Lett. 2023 Mar 22;25(5):183. doi: 10.3892/ol.2023.13769. eCollection 2023 May.
6
Silent pheochromocytoma and paraganglioma: Systematic review and proposed definitions for standardized terminology.无症状嗜铬细胞瘤和副神经节瘤：系统评价和标准化术语建议定义。
Front Endocrinol (Lausanne). 2022 Oct 17;13:1021420. doi: 10.3389/fendo.2022.1021420. eCollection 2022.
7
Systematic Review: Incidence of Pheochromocytoma and Paraganglioma Over 70 Years.系统评价：70年间嗜铬细胞瘤和副神经节瘤的发病率
J Endocr Soc. 2022 Jul 3;6(9):bvac105. doi: 10.1210/jendso/bvac105. eCollection 2022 Sep 1.
8
Morphological and immunohistochemical characteristics associated with metastatic and recurrent progression in pheochromocytoma/paraganglioma: A cohort study.与嗜铬细胞瘤/副神经节瘤转移和复发进展相关的形态学和免疫组织化学特征：一项队列研究。
Ann Diagn Pathol. 2022 Oct;60:151981. doi: 10.1016/j.anndiagpath.2022.151981. Epub 2022 May 28.
9
New Insights on the Genetics of Pheochromocytoma and Paraganglioma and Its Clinical Implications.嗜铬细胞瘤和副神经节瘤遗传学新见解及其临床意义。
Cancers (Basel). 2022 Jan 25;14(3):594. doi: 10.3390/cancers14030594.
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Dopamine-Secreting Pheochromocytoma and Paraganglioma.分泌多巴胺的嗜铬细胞瘤和副神经节瘤。
J Endocr Soc. 2021 Oct 29;5(12):bvab163. doi: 10.1210/jendso/bvab163. eCollection 2021 Dec 1.