腹膜后副神经节瘤外科治疗

Surgical management of extraadrenal retroperioneal paragangliomas

  • 摘要: 目的: 探讨腹膜后副神经节瘤的诊断治疗。方法: 1992年1月至2001年1月经手术治疗腹膜后副神经节瘤34例。结果: 全部病例均经手术和病理证实。手术中死亡1例,手术死亡率为2.6%。大部分病例有症状或肿块,11例有功能。术前B超、CT、MRI均能准确发现肿瘤。34例均完整切除肿瘤,其中恶性肿瘤8例(20.6%),良性26例(79.4%)。结论: 强调充分的术前准备,术中及术后严密监测,手术切除肿瘤是根本的治疗方法。

     

    Abstract: Objective: To evaluate the diagnostic and treatment for extraadrenal retroperioneal paraganliomas. Methods: 34 cases extraadrenal retroperioneal paraganliomas diagnosed and treated between Jan. 1992 and Jan.2001 were rerviewed. Results: The diagnosis of extraadrenal retroperioneal paraganliomas was confirmed on surgery and pathologic studies in all. Mast patients were admitted with pain or a mass,and eleven of 34 tumors were functional. The accuracy rates of localization B- ultrasonography, computerized tomography and magnetic resonance imaging were 100%. All tumours were completely resected.Operative mortality rate was 2.6%. In 26 cases(79.4%), the extraadrenal retroperioneal paraganliomas was benign and in the other 8 the tumor was malignant(20.6%). Conclusions: Pre-,peri- and post-operative management were of prime importance. Surgical management was the only means for cure in the disease.

     

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