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目的:总结胸腔功能性副神经节瘤的临床特征及诊疗方法。方法:回顾性分析2例胸腔功能性副神经节瘤患者的临床资料,并复习相关文献。结果:例1患者行胸腔镜手术时快速病理示副神经节瘤,予中止手术,充分准备后择期开胸行肿瘤切除术,例2患者腹腔镜探查时腹膜后未探及肿瘤,继而转为开胸切除肿瘤。病理诊断均为副神经节瘤。2例患者术后高血压症状均消失,行胸片及胸部CT分别随访2年余肿瘤无复发。结论:胸腔功能性副神经节瘤发病率低,临床表现缺乏特异性,常因诊断经验不足而延误诊断,手术切除为主要治疗手段。
Objective: To summarize the clinical features and diagnosis and treatment of pleural functional paraganglioma. Methods: The clinical data of 2 patients with functional paraganglioma were analyzed retrospectively. Results: In case of thoracoscopic surgery, patients underwent paragangliomas with rapid pathological presentation. All patients underwent surgery after surgery. The patients underwent elective thoracotomy for complete resection. Case 2: Laparoscopic exploration did not detect retroperitoneal tumors and then turned to Thoracotomy to remove the tumor. Pathological diagnosis is paraganglioma. Two patients with postoperative symptoms of hypertension disappeared, chest X-ray and chest CT were followed up for more than 2 years without tumor recurrence. Conclusion: The incidence of functional paraganglioma is low, and its clinical manifestations are not specific. It is often diagnosed because of lack of diagnosis and delayed diagnosis, surgical resection as the main treatment.