Vary J, Lebel M, Grose J H, Dionne L
Can J Surg. 1984 May;27(3):262-4, 273.
A case of asynchronous pheochromocytoma in a 13-year-old boy is reported. Two years elapsed between excision of the right adrenal gland and the appearance of another tumour in the contralateral gland. Selective central venous sampling for plasma catecholamine measurement and adrenal phlebography were of diagnostic value. Excision of the tumour with partial adrenalectomy was the preferred surgical treatment in the remaining contralateral adrenal; no clinical or biochemical abnormalities were observed 2 years after removal of the second pheochromocytoma. This case stresses the importance of a closer follow-up in children for early detection of a second pheochromocytoma.
报告了一例13岁男孩的非同步性嗜铬细胞瘤病例。右侧肾上腺切除与对侧肾上腺出现另一肿瘤之间间隔了两年。用于血浆儿茶酚胺测量的选择性中心静脉采样和肾上腺静脉造影具有诊断价值。在对侧剩余肾上腺进行肿瘤切除并部分肾上腺切除术是首选的手术治疗方法；切除第二个嗜铬细胞瘤两年后未观察到临床或生化异常。该病例强调了对儿童进行密切随访以早期发现第二个嗜铬细胞瘤的重要性。
