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[Diagnosis and treatment of pheochromocytoma].

Yun Zhu, Yi‐Long Wu, Liu D, Feng Sun

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Abstract

OBJECTIVE: To improve the diagnosis and treatment of pheochromocytoma. METHODS: From 1958 to 1998, 286 cases of pheochromocytoma, confirmed by open surgery and pathology, were retrospectively analyzed. RESULTS: The tumors in the adrenal gland were seen in 220 cases, and in the external adrenal gland in 66. Of 29 cases of malignant pheochromocytomas, 7 were noted in the adrenal and 22 in the external adrenal gland. 19 cases showed stationary pheochromocytomas without clinical features. Total resections were performed in 281 cases. CONCLUSION: The operative mortality could be reduced by the prevention of potential myocardiopathy. The diagnosis of malignant pheochromocytoma should depend upon the long-term follow up.

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What this paper is about

OBJECTIVE: To improve the diagnosis and treatment of pheochromocytoma. METHODS: From 1958 to 1998, 286 cases of pheochromocytoma, confirmed by open surgery and pathology, were retrospectively analyzed. RESULTS: The tumors in the adrenal gland were seen in 220 cases, and in the external adrenal gland in 66. Of 29 cases of malignant pheochromocytomas, 7 were noted in the adrenal and 22 in the external adrenal gland. 19 cases showed stationary pheochromocytomas without clinical features. Total resections were performed in 281 cases. CONCLUSION: The operative mortality could be reduced by the prevention of potential myocardiopathy. The diagnosis of malignant pheochromocytoma should depend upon the long-term follow up.

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Available abstract

OBJECTIVE: To improve the diagnosis and treatment of pheochromocytoma. METHODS: From 1958 to 1998, 286 cases of pheochromocytoma, confirmed by open surgery and pathology, were retrospectively analyzed. RESULTS: The tumors in the adrenal gland were seen in 220 cases, and in the external adrenal gland in 66. Of 29 cases of malignant pheochromocytomas, 7 were noted in the adrenal and 22 in the external adrenal gland. 19 cases showed stationary pheochromocytomas without clinical features. Total resections were performed in 281 cases. CONCLUSION: The operative mortality could be reduced by the prevention of potential myocardiopathy. The diagnosis of malignant pheochromocytoma should depend upon the long-term follow up.

Key concepts: Medicine, Pheochromocytoma, Adrenal gland, Adrenalectomy, Surgery, Pathology

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