PDF(Pubmed)
Abstract：
This report presents the case of a 45-year-old man with a history of episodic headaches, palpitations, and sweating for the past six months. His blood pressure on admission was 170/100 mmHg. The patient was diagnosed with pheochromocytoma confirmed by elevated levels of plasma catecholamines and metanephrines. CT imaging revealed a 3 cm mass in the left adrenal gland with evidence of local invasion into the surrounding tissues. The patient underwent a laparoscopic adrenalectomy and was discharged on the third postoperative day with normal blood pressure. Histopathological examination confirmed the diagnosis of pheochromocytoma. The patient was followed for six months postoperatively with the resolution of symptoms and no evidence of tumor recurrence on imaging. Recurrence involves complex environment-gene interactions that are poorly understood. The diagnosis of pheochromocytoma could take several weeks to several years mainly because the symptoms are nonspecific and episodic. Although sudden death is rare, the debilitations associated with pheochromocytoma are often multisystemic with cardiovascular, emotional, and metabolic components. This case report highlights the importance of early diagnosis, appropriate management, and follow-up for pheochromocytoma.
摘要：
这份报告介绍了一名45岁的男性，有偶发性头痛史，心悸,在过去的六个月里流汗。他入院时的血压为170/100mmHg。通过血浆儿茶酚胺和间肾上腺素水平升高证实患者被诊断为嗜铬细胞瘤。CT成像显示左肾上腺有3厘米的肿块，有局部侵入周围组织的证据。患者接受了腹腔镜肾上腺切除术，并在术后第三天出院，血压正常。病理组织学检查证实了嗜铬细胞瘤的诊断。患者术后随访6个月，症状缓解，影像学无肿瘤复发迹象。复发涉及复杂的环境-基因相互作用，人们对此知之甚少。嗜铬细胞瘤的诊断可能需要数周至数年的时间，主要是因为症状是非特异性和偶发性的。虽然猝死是罕见的，与嗜铬细胞瘤相关的衰弱通常是多系统的心血管疾病，情感,和代谢成分。这份病例报告强调了早期诊断的重要性,适当的管理，和嗜铬细胞瘤的随访。
