Selective arterial embolization in giant pheochromocytoma
10.3760/cma.j.issn.1000-6702.2011.05.003
- VernacularTitle:选择性动脉栓塞在嗜铬细胞瘤手术中的应用
- Author:
Dong WANG
;
Hanzhong LI
;
Yushi ZHANG
;
Zhengyu JIN
;
Yu YANG
;
Weigang YAN
;
Yi ZHOU
- Publication Type:Journal Article
- Keywords:
Pheochromocytoma;
Arterial embolization;
Surgery;
Complications
- From:
Chinese Journal of Urology
2011;32(5):299-302
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the value of preoperative transcatheter arterial embolization (TAE) in surgery for giant pheochromocytoma. Methods During the period of Jan 2000 to July 2010,six patients with giant pheochromocytoma underwent preoperative TAE in Peking Union Medical College Hospital.The medical records were reviewed retrospectively. Results The lesions were all solitary giant pheochromocytoma.In four casesthe pheochromocytoma was located in the aderenal gland the remaining two cases were paraganglioma.The tumor size ranged from 7 cm to 16 cm.And CTA showed the masses were well vascularized and fed by diverse arteries.All six patients underwent preoperative TAE successfully and surgical removal was successfully performed within 24 hours after embolization.No major complications occurred.After surgery no patient suffered recurrence and clinical symptoms were significantly improved. Conclusions Preoperative TAE is safe and effective for giant pheochromocytoma.Preoperative pharmacological management,gastrointestinal preparation and surgical remoral performed within 24 hours after embolization markedly reduced the complications related to embolization.TAE can help achieve hemodynamic stability during operation and is very helpful to a complete resection of giant pheochromocytomas.
