一例临床“无症状”嗜铬细胞瘤自发破裂的罕见病例。
An unusual case of spontaneous rupture of a clinically "silent" phaeochromocytoma.
作者信息
Sapienza P, Tedesco M, Graziano P, Moretti M, Mingazzini P L, Cavallaro A
机构信息
Department of Surgery, La Sapienza University, Rome, Italy.
出版信息
Anticancer Res. 1997 Jan-Feb;17(1B):717-20.
A case of an adrenal mass which presented as spontaneous rupture contained by its own capsule is described. Clinical symptoms were aspecific and endocrinological examinations were within normal range. CT scan missed the presence of the adrenal tumor and interpreted the mass as a large haematoma arising from the left kidney. The pathological diagnosis was phaeochromocytoma. The management of "silent" phaeochromocytoma and its atypical presentation are discussed. A review of the international literature was also made collecting 29 cases of spontaneous rupture of an adrenal phaeochromocytoma.
本文描述了一例肾上腺肿块病例，该肿块表现为自发破裂并被自身包膜包裹。临床症状不具特异性，内分泌检查结果在正常范围内。CT扫描未发现肾上腺肿瘤，将该肿块解释为源于左肾的巨大血肿。病理诊断为嗜铬细胞瘤。文中讨论了“隐匿性”嗜铬细胞瘤的处理及其非典型表现。还对国际文献进行了综述，收集了29例肾上腺嗜铬细胞瘤自发破裂的病例。
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