[Experience with 33 operations for pheochromocytoma].
The authors submit experience with 33 operations of pheochromocytomas in 29 patients, incl. 5 children under 15 years (15%) and 5 adolescents aged 16 to 23 years (15%). Of 33 pheochromocytomas 32 were benign (23 adrenal, 9 extra-adrenal) and 1 malignant pheochromoblastoma. In 4 patients there were duplicit pheochromocytomas and in one triplicit (both adrenals and an extraadrenal pheochromocytoma). Five patients developed relapses or new pheochromocytomas in the course of 4-16 years after the previous operation. The only serious peroperative and post-operative complication with a fatal outcome was in 1957 in a 17-year-old girl with bilateral pheochromocytoma of the adrenal medulla, where the left one was diagnosed and extirpated in 1953, while the other one was not diagnosed intra vitam. The authors evaluate also the long-term results of their patients who survive 3-25 years after operation. Three died some time after operation (pheochromoblastoma, 2X IM), two were recently re-operated on account of new pheochromocytomas which developed 11-16 years after the first operation. Patients after operation of pheochromocytomas should be regularly checked and dispensarized throughout life.
Sváb
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J
Navrátil
P
P
D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000601:surgery*; D011183:Postoperative Complications
Zkusenosti s 33 operacemi feochromocytomů.