副神經(jīng)節(jié)瘤的診斷與治療（附106例分析）.pdf

1、Y1414176同等學(xué)歷申請(qǐng)碩十學(xué)位碩士學(xué)位論文(臨床醫(yī)學(xué))副神經(jīng)節(jié)瘤的診斷與治療(附106例分析)所在所院：姓名：指導(dǎo)教師：學(xué)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(xué))2008年6月學(xué)校代碼：10023學(xué)號(hào)：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