Abstract

COPO JORGE, José A; SAVIO LOPEZ, Andrés M; SOLIVA DOMINGUEZ, Ramón  and  RECIO PANDO, Héctor. Feocromocitoma: diagnóstico y resultados del tratamiento quirúrgico. Rev Cubana Cir [online]. 2002, vol.41, n.2, pp. 98-103. ISSN 1561-2945.

A prospective study that included all the patients with pheochromocytoma operated on at the General Surgery Service of "Hermanos Ameijeiras" Clinical and Surgical Hospital from June, 1984, to June, 2000, was conducted. 33 patients, 24 females and 9 males, were included. The affection predominated in the third, fourth and fifth decade of life. Arterial hypertension was the main clinical manifestation present in 85 % of th cases. The incidentaloma and the multiple endocrine neoplasia (MEN) II A were other forms of presentation. Computed axial tomography and ultrasound had a sensitivity of 95 and 100 %, respectively, for the diagnosis of the entity. Adrenalectomy was the elective treatment and the lumbar approach(84.8 %) was the most used. The pleural opening was the most frequent accident and the prevailing complications were pneumothorax and lumbar hematoma. The final result of the treatment was good in 28 patients (84.84 %) and 2 deaths were registered (6.1 %)

Keywords : PHEOCHROMOCYTOMA [surgery]; PHEOCHROMOCYTOMA [diagnosis]; TOMOGRAPHY, X RAY COMPUTED; ULTRASONOGRAPHY; ADRENALECTOMY; HYPERTENSION.

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