肾上腺嗜铬细胞瘤英文病例汇报.ppt

The Case Reprot Name, Zhang Xiaolan,female,51 year old. Chief Complaint: Paroxysmal syncope 4 months, Left flank pain for 2 months Syncope blood pressure : 180/120mmHg(Millimeters of mercury) No suffering condition blood pressure : 110/60mmHg (Millimeters of mercury) Unenhanced spiral CT scan: Left adrenal solid mass Enhanced CT and CTA：Left adrenal mass, the possibility of adrenal adenomas, the lesion are very close with left renal vein and renal artery. Uterine fundus mass, more consideration uterine fibroids Reference values ??of urinary VMA:15.39 mg(milligram) /24h; (13.6mg/24h) Serum potassium concentration(K+): 3.22mmol/L;(3.5-5.5mmol/L) Treatment：Laparoscopic left adrenal tumor resection Clinical diagnosis：Left adrenal pheochromocytoma How to avoid injury on renal vascular in surgery The right adrenal neoplasm * The right adrenal neoplasm *