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膀偏瘤呈现异常腹痛:一个诊断挑战

Yuchun Luo¹, Juncheng Huang¹, Hongwei Liu²

¹Department of Urology, Central Hospital of Guangdong Nongken, Guangdong Province, Zhanjiang, 524002, China.

Urology case reports

|December 31, 2025

概括

一名70岁的老人被诊断出一种罕见的超瘤,一种分泌catecholamine的瘤,患有腹部疼痛. 手术去除了他的症状,强调了诊断这种罕见瘤时需要保持警的必要性.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
内分泌学在内分泌学.
在瘤学瘤学.

背景情况:

帕拉格林瘤是一种罕见的神经内分泌瘤,可以分泌儿科胺.
膀偏瘤异常罕见,经常呈现非特异性症状.
无法解释的腹部疼痛和高血压可能是catecholamine分泌瘤的迹象.

研究的目的:

报告一个超血管膀质量的病例,后来被诊断为 paraganglioma.
为了强调诊断的挑战和成功管理这种罕见的条件.
要突出考虑异胎儿儿类甲醇胺产生的重要性,在患有不明原因症状的患者中.

主要方法:

一个70岁的男性有间歇性腹痛的案例介绍.
诊断工作包括成像 (超声波,核磁共振),囊镜和生物化学测试 (尿中诺米他尼林).
手术干预 (拉巴光镜部分囊切除术) 和用免疫组织化学的组织病理学检查.

主要成果:

最初的成像显示出膀结节,但囊镜检查结果对瘤呈阴性.
尿中高甲基尼水平和MRI发现了高血管膀质量.
laparoscopic 部分囊切除术证实了对角质瘤 (synaptophysin +,染色素A +).
手术后症状的缓解和停止抗高血压药物治疗.

结论:

膀偏瘤是一种罕见的诊断,应考虑在患有无法解释的腹痛和高血压的患者.
综合诊断评估,包括生物化学测试和先进成像,至关重要.
手术切除是症状性膀偏瘤的有效治疗方法.

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