LOW ACTIVIT Y AND «SILENT» PHEOCHROMOCY TOMA : FEATURES OF DIAGNOSIS AND SURGICAL TREATMENT
DOI:
https://doi.org/10.21856/j-PEP.2018.2.01Keywords:
low-active and «silent» pheochromocytoma, catecholamines, metanephrines, 123I-metaiodobenzylguanidine, laparoscopic adrenalectomy.Abstract
In 2007–2017 years in MONICI about low-active and «silent» of pheochromocytomas were operated on
31 patients. At 67.7 % of the data were obtained that suggest pheochromocytoma before surgery. In 83.8 %
their functional activity was manifested by hemodynamic disorders in «response» to surgical manipulations.
Significant radiation signs characteristic of pheochromocytoma include: high density, inhomogeneity of the
structure with the presence of cystic cavities of different sizes, high signal intensity on T2 weighted images. If
the patient has pheochromocytoma, endovideoscopic adrenalectomy is a choice operation, as it allows to significantly minimizing hemodynamic disorders in the form of uncontrolled hypertension
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