20例恶性嗜铬细胞瘤的诊疗分析

报道恶性嗜铬细胞瘤20例，占本院近40年来收治嗜铬细胞瘤总病例数的10．5％。20例中表现有高血压17例，尿儿茶酚胺升高16例。肿瘤位于胸腔纵膈2例，肾上腺3例，腹主动脉旁7例，盆腔4例，膀胱壁4例。手术所见及长期严密随访是早期诊疗恶性嗜铬细胞瘤的关键。并就恶性嗜铬细胞瘤的诊断依据、误诊原因及治疗预后进行分析讨论。

Analysis of Diagnosis and Treatment in 20 Cases of Malignant Pheochromocytoma

Twenty cases of malignant pheochromocytoma were reported, making up 10.5% of the total pheochromocytomas in the last 40 years in this hospital. Hypertension occurred in 17 patients.An increase of urine catecholamine was observed in 16 patients. Locations of the tumors were: 2 on cavum thoracic mediastinum, 3 on adrenal, 7 on abdominal aorta, 4 on cavum pelvis, and 4 on vesica urinaria. The key of early diagnosis of malignant pheochromocytoam is operation findings and long term close clinical follow-up. The diagnosis basis and treatment of malignant pheochromocytoma,the reasons for misdiagnosis and prognosis were discussed.