The Association of Pheochromocytoma with Intercarotid Chemodectomas: A Case Report

嗜鉻細胞瘤合併頸部動脈瘤

王治元(Chih-Yuan Wang) ； 謝德生(Teh-Sheng Hsieh) ； 黃天祥(Tien-Shang Huang)

《慈濟醫學雜誌》 8卷1期 (1996/03) Pp. 67-71

https://doi.org/10.6440/TZUCMJ.199603.0067

摘要

嗜鉻細胞瘤為一罕見之高血壓腫瘤，可是它所引起之續發性高血壓是可以治療。嗜鉻細胞瘤多起源於腎上腺髓質之嗜鉻細胞，但是其它部位之交感神經嗜鉻細胞也會產生類似的高血壓腫瘤。頸動脈瘤即是屬於此類腫瘤，不過文獻中只有少數報告頸動脈瘤可引起高血壓。同時嗜鉻細胞瘤合併頸部動脈瘤之文獻報告亦屬罕見。我們報告一例嗜鉻細胞瘤合併頸部動脈瘤，用以提醒注意具頸部動脈瘤之患者必需檢查合併腎上腺髓質嗜鉻細胞之可能性。

關鍵字

嗜鉻細胞瘤 ； 頸動脈瘤 ； 交感神經嗜鉻細胞

並列摘要

Despite being a rare tumor, pheochromocytoma still raised great concerns among physicians and surgeons because it can cause curable secondary hypertension. A pheochromocytoma usually arises from chromaffin tissue of the adrenal medullo, but in may arise from chromaffin tissue of the sympathetic paraganglia as well. Carotid body tumors (Previously known as chemodectomas or glomus tumors) that arise from intercarotid chromaffin tissues are rarely functional. Few reports have suggested that pheochromocytoma occurs in patients with chemodectomas. Here we report a case of an associated concurrence of pheochromocytoma and prior intercarotid chemodectomas. This case alerts us that if a patient is found to have carotid body tumors , early study for possible pheochromocytoma is advised.

並列關鍵字

pheochromocytoma ； chemodectoma ； parganglioma