导致心悸的左肾上腺混合功能性肿瘤,手术治疗。病例报告。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-11-01 DOI:10.1093/jscr/rjae731
Santiago Muñoz-Palomeque, William Aguayo-Vistin, Gabriel A Molina, Zanny Bastidas-Arévalo, Jaime Paul Herrera Gonzalez, Christian I Gordon
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引用次数: 0

摘要

复合嗜铬细胞瘤指的是一种罕见的肾上腺肿瘤,其中包括神经母细胞成分,是一种罕见的由绒毛膜细胞产生儿茶酚胺的肿瘤,通常位于肾上腺髓质。它通常表现为心动过速、头痛和间歇性全身乏力等症状,但临床表现可能各不相同。诊断需要进行生化检查和影像学检查,如儿茶酚胺、甲肾上腺素、CT 扫描和正电子发射断层扫描(PET)。手术治疗是最有效的方法,大多数病例都选择腹腔镜手术。本病例报告讨论了一名 45 岁男性患者,该患者出现心动过速和心悸,诊断为左侧嗜铬细胞瘤,表现为神经母细胞瘤分化,通过前腹腔镜手术治疗,无任何经手术并发症,出血少。术后恢复顺利,病理确诊。及时诊断和手术切除至关重要,腹腔镜是切除肿瘤的首选方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mixed functional tumor of the left adrenal as a cause of palpitations, surgical management. Case report.

Compound pheochromocytoma refers to a rare adrenal tumor that includes neuroblastic components and is a rare catecholamine-producing tumor from chromaffin cells, typically found in the adrenal medulla. It usually presents with symptoms like tachycardia, headache, and intermittent diaphoresis, although its clinical manifestations can vary. Diagnosis involves biochemical studies and imaging such as catecholamines, metanephrines, CT scans, and positron emission tomography (PET). The surgical management is the definitive, being the laparoscopic approach of choice in most cases. This case report discusses a 45-year-old male who presented with tachycardia and palpitations, diagnosed with left pheochromocytoma exhibiting neuroblastoma differentiation, surgically treated through anterior laparoscopy without any trans-surgical complications and with low bleeding. Postoperative recovery was uneventful, and pathology confirmed the diagnosis. Timely diagnosis and surgical removal are crucial, with laparoscopy being the preferred approach for tumor resection.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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