Objective To probe into the diagnosis and treatment of pheochromocytoma of high risk. Methods The clinical data of 35 cases of pheochromocytoma of high risk underwent surgical extirpation from 1990 to 2000 were reviewed. Results The tumors were intraadrenal in 27 and extraadrenal in 8.The average diameter of the growth which could be successfully resected was 10 cm and the weight 350 g.Biopsy was undertaken in 2 because of the difficulty in extirpation of the tumor.Recurrence occurred in 4 and there were 3 cases being comfirmed to be malignant. Conclusions Adequate preoperative preparation and definite location of the tumor are the most important before surgery.Fluctuation of blood pressure have to be monitored during surgery and to be treated carefully and promptly.Hypoglycemia have to be awared of after the surgery.

Objective To detect plasma renin activity(PRA) and kidney damage in primary hyperaldosteronism(PA). Methods The duration of hypertension,serum creatinine and aldosterone levels,recumbent and upright PRA levels were detected and studied in 76 PA patients.Correlation was measured between creatinine and other parameters. Results Serum creatinine level correlates closely with upright PRA ( P

Purpose:To evaluate the surgical method of pheochromocytoma.Methods:Data of 103 cases of patients with pheochromocytoma was reviewed retrospectively.Results:The operation of 49 patients with Pheochromocytoma were performed by the 11 th rib intercostal incision, 18 cases by the 10th rib intercostal incision, 15 cases by transrectus incision, 9 cases by abdominothoracic incision, 5 cases by abdominal subcostal oblique, 3 cases by inferior abdominal incision, 3 cases by posterolateral incision. 1 patient received the laparoscopic surgery.Conclusions:① Most surgical pathway of the pheochromocytoma in adrenal can be performed by the 11th rib intercostal incision of the 10th rib intercostal incision.②The suitable pathways for the giant pheochromocytoma adhering to big vessels are transrectus incision or abdominothoracic incision.③ For the mutiple masses of extra-adrenal pheochromocytoma, the middle abdominal incision may be the choice.