论文部分内容阅读
患者,男性,61岁。因间断头痛、心慌、胸闷、视物模糊5年来就诊,发作时伴出汗,血压急骤升高,达200mmHg以上。查体血压不稳定,发作时在280～300/130～150mmHg之间波动。CT提示:膀胱前壁实质肿块。超声所见;双侧肾上腺处未见异常回声,肝胆胰脾肾图像未见异常。膀胱充盈,内壁光滑,于膀胱前壁见一大小约 5.2cm×4.1cm增强回声团,包膜光滑,内部回声不均,膀胱前壁受压(图1)。提示:膀胱前壁实质肿块(肾上腺嗜铬细胞瘤异位)。手术所见:膀胱粘膜光滑,肿物位于膀胱底偏右侧肌层间,呈膨胀型生长,有包膜,在膀胱壁浆膜层下肌间、粘膜外将肿物完整剥出。病理诊断:符合嗜铬细胞瘤。
Patient, male, 61 years old. Due to intermittent headache, palpitation, chest tightness, blurred vision over the past 5 years treatment, attack with sweating, sudden increase in blood pressure, up to 200mmHg. Examination of blood pressure instability, seizures in the 280 ~ 300/130 ~ 150mmHg fluctuations. CT tip: a real mass of the anterior wall of the bladder. Ultrasound seen; no abnormal bilateral adrenal echo, no abnormal liver, gallbladder, pancreas and spleen and kidney images. Bladder filling, wall smooth, see a size of the anterior bladder wall of about 5.2cm × 4.1cm enhanced echo group, smooth envelope, uneven internal echo, bladder anterior wall compression (Figure 1). Tip: real mass of the anterior wall of the bladder (adrenal pheochromocytoma ectopic). Surgical findings: bladder mucosa smooth, tumor located in the right side of the bladder at the right side of the muscular layer, was swollen growth, a capsule, in the bladder wall serosal submuscular, mucosal stripping the tumor completely. Pathological diagnosis: in line with pheochromocytoma.