褐色細胞腫の1例とその統計的観察

Abstract

The report deals with a case of pheochromocytoma recentl y experienced in our clinic and statistical analysis of 82 cases of this disease from clinical point of view collected from the Japanese literatures. Case report : A patient, 67 years old male, was admitted to our clinic with history of paroxysmal attacks of palpitations, severe headache and perspiration for four years. The usual duration of the attack was about the minutes withont unconsiousness. Physical examination on admission was not remarkable except for a blood pressure of 180/100. Results of routine laboratory studies were within normal ranges. The basal metabolic rate was +10%. The fasting blood glucose level was 144 mg/dl on glucose tolerance test. Abdominal massage on the left was accompanied by elevation of blood pressure but cold presser test was negative. Regition and histamine tests were positive and the urinary catecholamines were elevated, Presacral air insulation revealed a mass in the region of the left adrenal gland. The left pararectal and upper left transverse incision was made and the left adrenal was extirpated which weighed 620 g. The histological examination of the tumor showed pheochromocystoma. A histamin test at surgery after removal of the tumor failed to elicit a marked blood pressure response. After an uneventful convalescens, the patient was discharged on the three postoperative day, with asymptomatic and a stable pressure of 120/70.