副神經節(jié)瘤的診斷與治療（附106例分析）.pdf

1、Y1414176同等學歷申請碩十學位碩士學位論文(臨床醫(yī)學)副神經節(jié)瘤的診斷與治療(附106例分析)所在所院：姓名：指導教師：學科專業(yè)：完成日期：北京協(xié)和醫(yī)院徐維鋒李漢忠泌尿外科(臨床醫(yī)學)2008年6月學校代碼：10023學號：B0074AbstractDiagnosisandmanagementofparagan91ioma：ananalysisof106casesObjectiVeImproVediagnosisandtreatm

2、entofparagangliomaMaterialsandMethods106patientswithparagangliomaswereadmittedtoBeijingpekingunionmedicalhospitalfrom1986to2007Theclinicaldataofthesecaseswereretrospectivelyanalysed51casesweremale，55caseswerefemaleTheage

3、rangedfrom13to73yearsold，meanagewas388yearsoldLocationofprimarytumors：83casesisfromretroperitonium，7casesfrombladder，7casesfrommediastinuIll，4casesfromheart，1casefrom1iverThemaximumdiameterwas15—22cm。andthemeandiameterwa

4、s626283cmMultipletumorsoccurredin21cases82patientspresentedwithhypertentionUrinarycatec01aminesweredetectedin92casesand78casesofthemhadhigher1evelofurinarycatecolaminesthannormalCTscanningwereperformedinal1cases，Location

5、goftumorsweremadeinallcasesexcept237of46caseswhoacceptedMIBGscanhadpositiveresultIn32caseswhohadoctreotidescan，26caseshadpositiveresultResult99of106casesweretreatedwithoperation，whichinclude84opensurgeryand15laparascopic

6、surgeryIna11cases，tumorwerecompletelyresected86casesweref0110wedupfor6to134monthsMetastasis0ccurin4“benign”cases7casesdiedduringf01lowupConclusionParagan91iomaisrarediseaseandoccursmostprobablyinretroperitoniumUrinarycat

7、ecolaminehadhighsensitivityandselectivityEnhancedCTscancanbeusedasfirst—lineimaginemethodMIBGisspeciallyusefulindetectingmultiple，recurrentandmetastatictumorsSurgeryistheonlycurabletreatmentLongtermfollowupisessentialfor