CAJ | 학술논문

一例34岁男性因波动性高血压疑为嗜铬细胞瘤而转至本科就诊。该患者临床表现典型，人院查血浆甲氧基肾上腺素(MN)及甲氧基去甲肾上腺素(NMN)均明显升高，CT和PET-CT检查均发现左侧肾上腺占位，诊断为嗜铬细胞瘤。术前予以甲磺酸多沙唑嗪控释片4 mg/d口服2周，血压平稳，在腹腔镜下行左侧肾上腺肿瘤切除术。术后病理提示嗜铬细胞瘤，MN、NMN、血压恢复正常，症状缓解。该患者术后随访3年，血压、血浆MN、NMN水平均正常,肾上腺CT未见肿瘤复发。
일례34세남성인파동성고혈압의위기락세포류이전지본과취진。해환자림상표현전형，인원사혈장갑양기신상선소(MN)급갑양기거갑신상선소(NMN)균명현승고，CT화PET-CT검사균발현좌측신상선점위，진단위기락세포류。술전여이갑광산다사서진공석편4 mg/d구복2주，혈압평은，재복강경하행좌측신상선종류절제술。술후병리제시기락세포류，MN、NMN、혈압회복정상，증상완해。해환자술후수방3년，혈압、혈장MN、NMN수평균정상,신상선CT미견종류복발。
A 34-year-old male patient with suspected pheochromocytoma was referred to our department for paroxysmal hypertension. Pheochromocytoma was confirmed by very high plasma nor-metanephrine ( NMN ) and metanephrine ( MN ). Contrast CT of the adrenal disclosed a 3.0 cm x 3.0 cm mass in the left adrenal. 18 F-FDG-PET-CT showed high uptake only in the left adrenal. When the patient's blood pressure was well controlled with 4 mg/d doxazosin for 2 weeks, surgery was then performed under laparoscopy. A round solid left adrenal pheochromocytoma was resected. After surgery, plasma MN and NMN levels returned to normal, and the patient was free of clinical symptoms with normal blood pressure. This patient has been followed 3 years with normal blood pressure, MN, and NMN levels, without tumor recurrence shown hy adrenal CT.