褐色細胞腫 --手術治験例--

Abstract

A married woman, aged 36, was admitted to the de p artment of urology, Okayama University Medical School on Nov. 21, 1954, with history of paroxysmal attacks of palpitations, headache, excessive perspration, dyspnea for two years on the right side position. The useal duration of attacks was about ten minutes, but did not lose consciousness. Physical examination on admission revealed a well develope d but worse-nourished with hard smooth tumor in the upper left abdominal region and the blood pressure 168/108mmHg. The retinal vessel were sclerotic and some small retinal hemorrhages were found. The basal metabolic rate was +23.5%, but no clinical signs of hyperthyroidism were present. The blood sugar on fasting time were 136 mg per 100 cc and 160 mg glucose tolerance test. Retrograde pyelography with presacral insufflation of oxygen showed around shadow in left suprarenal region. A piperoxane test was negative but, on the contrarilly, phenanntolamine caused a striking drop of blood pressure. A histamine test intoavenously, cold pressre test, and deep massage test over the left flank produced a rise in blood pressure respectively with headache and palpitations. The left pararec t a l and upper left transverse incision was made and the left adrenal was exstirpated, weighing 640 g. The postoperative course wa s uneventful and the blood pressure sustained 120/70 mmHg Histological examination verified the tumor was a phaeochromcytoma.