目的：探讨膀胱嗜铬细胞瘤的诊断与治疗。方法回顾性分析2005年1月至2015年1月本院收治的经病理确诊为膀胱嗜铬细胞瘤的6例患者的临床诊治情况及病理结果。结果6例患者中男4例；女2例；高血压患者2例，血尿患者4例；高血压及血尿症状均存在2例，2例患者无任何临床症状；2例行膀胱部分切除术，1例行膀胱部分切除术及右侧输尿管膀胱再植术，3例行经尿道膀胱肿瘤电切术；术后病理证实为膀胱嗜铬细胞瘤。结论膀胱嗜铬细胞瘤诊断应充分结合其病史及辅助检查，治疗上早期膀胱嗜铬细胞瘤治疗首先膀胱部分切除术，晚期恶性膀胱嗜铬细胞瘤考虑放射治疗、化学治疗和分子靶向治疗。%Objective To investigate the diagnosis and treatment of bladder pheochromocytoma .Methods The retrospective analysis was performed on the clinical diagnosis and treatment situation and pathological results in 6 cases of pathologically diagnosed bladder pheochromocytoma in our hospital from January 2005 to January 2015 . Results Among 6 cases of bladder pheochromocytoma ,4 cases were male and 2 cases were female ;2 cases were hy-pertension ,4 cases were hematuria ,and 2 cases were hypertension and hematuria ,2 cases had no any clinical symp-toms ;2 cases underwent partial cystectomy ,1 case underwent partial cystectomy and right ureteral reimplantation tube ,3 cases were treated with transurethral resection of bladder tumor resection ;the postoperative pathology con-firmed bladder pheochromocytoma .Conclusion The diagnosis of bladder pheochromocytoma should be fully integrat-ed with its disease history and auxiliary examination ;the treatment of early bladder pheochromocytoma is partial bladder resection first and advanced bladder malignant pheochromocytoma should be considered to conduct radioche-motherapy and molecular targeted therapy .
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