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タイトル: | 褐色細胞腫10例の臨床的観察 |
その他のタイトル: | CLINTICAL OBSERVATION OF 10 CASES OF PHEOCHROMOCYTOMA |
著者: | 布施, 秀樹 秋元, 晋 伊藤, 晴夫 島崎, 淳 石川, 堯夫 松村, 勉 |
著者名の別形: | Fuse, Hideki Akimoto, Susumu Ito, Haruo Shimazaki, Jun Ishikawa, Akio Matsumura, Tsutomu |
発行日: | Dec-1982 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 28 |
号: | 12 |
開始ページ: | 1521 |
終了ページ: | 1527 |
抄録: | Ten cases of pheochromocytoma seen at our hospitals between 1960 and 1981 are presented. The ages of the patients differed greatly. Seven patients were females and 3 were males. Six patients had a right adrenal tumor, 3 patients had a left adrenal tumor, and one patient had an extra-adrenal tumor. In the clinical findings, hypertension was recognized in 9 cases, palpitation in 7 cases, headache in 6 cases, nausea and vomiting in 5 cases, headache in 6 cases, nausea and vomiting in 5 cases and sweatening in 2 cases. A diagnosis of renal cancer was made for the case without hypertension, which was found to be pheochromocytoma at autopsy. The urinary catecholamine levels in 24 hour collections were high in 8 cases excluding the paroxysmal-type case. The urinary level of adrenaline of the extra-adrenal case was higher than that of noradrenaline. For locating tumors, computed tomography, retroperitoneal pneumography, ultrasonography, aortography and so on were performed, the first two methods of which showed a diagnostic accuracy of 100%. Computed tomography which was not invasive was found the most helpful method. Blood transfusion and administration of phenoxybenzamine and propranolol were performed as preoperative management on 5 patients, but none of them developed hypotension after tumor extirpation. The blood pressure of9 patients who underwent operation became normal after operation. |
URI: | http://hdl.handle.net/2433/123204 |
出現コレクション: | Vol.28 No.12 |
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