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摘要


13歲男孩,因發汗,頭痛及心悸住院。臨床檢查發現有持續性高血壓,尿液所含之vanilmandelic acid (VMA),腎上腺素(epinephrine),新腎上腺素(norepinephrine)及dopamine均有昇高,動脈血管攝影顯示右腎上方有血管性腫瘤。病人接受開刀治療,術後症狀消失,體重增加,同時尿液之磷苯二酚胺(catecholamine)也恢復正常。

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並列摘要


A 13-year old boy had the complaints of sweating, headache, palpitation and no body weight gain for two years. Physical examination revealed persistent hypertension and grade Ⅲ hypertensive retinopathy. Twenty-four hour urinary catecholamine (epinephrine, norephinephrine, dopamine) and VMA (vanilmandelic acid) secretions were increased. Selective suprarenal angiography showed a right side adrenal vascular tumor. A yellowish vascular tumor measuring 5×5×5cm in size was removed surgically with prompt relief of hypertension. It was later histologically proved to be a pheochromocytoma. The patient remained symptom free and his body weight increased 8kg in two months postoperatively.

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