Naslov
Suvremena dijagnoza i liječenje feokromocitoma u djece
(Modern diagnosis and treatment of pheochromocytoma in children)

Autori
Malčić Ivan, Težak Stanko, Gjurašin Miroslav, Bradić Ivan, Radanović Boris, Senečić Irena, Hlavka Vladimir, Agbaba Milan, Golem Frane Vinko, Popović Ivana

Izvornik
Liječnički vjesnik : glasilo Hrvatskoga liječničkog zbora (0024-3477) 116 (1994); 182-187

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, stručni

Ključne riječi
Feokromocitom, nadbubrežna žlijezda, paragangliom, ureterni tumori, dijete, dijagnoza i, kirurgija
(Pheochromocytoma, Adrenal gland. Paraganglioma, Ureteral tumors, Child, diagnostics and surgery)

Sažetak
Pheochromocytoma is a rare tumor of chromaffin tissue of the adrenal gland that synthesizes, stores and releases cathecolamines. In 10% of the patients it arises outside the adrenal gland, and has been called paraganglioma. The following study describes our experience in the diagnostic process and treatment of pheochromocytoma in two children, a 8-year-old boy with the right ureteral paraganglioma, and a 8-year-old girl with pheo- chromocytoma of the leftsuprarenal gland. Characteristic clinical features with predominant signs of hypertension, as well as the diagnostic flow diagram, have been presented. We have analysed recent diagnostic possibilities, sensitivity of diagnostic methods (ultrasonography, CT, selective angiography and J131 MIBG scintigraphy), indications for their use, and the importance of appropriate preoperative management. The major role of the J131-metaiodobenzilguanidine scintigraphy in diagnostic assessment, especially in precise preoperative localization and postoperative verification of tumour removal, has been stressed.

Izvorni jezik
Hrvatski

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