Clinical Misdiagnosis causes analysis of 7 Cases of Atypical Pheochromocytoma
CHEN Jin
JIANG Huai-wu
PENG Fang-xing
ZHOU Hang-yu
WU Chen
Abstract：Objective To investigate the clinical characteristics,misdiagnosis causes and prevent measure of atypical pheochromocytoma (PHEO). Methods 7 case of 36 patients with PHEO who were misdiagnosed as other diseases were se-lected as the subjects admitted to our hospital from January 2008 to December 2016. The clinical data were analyzed by retro-spective analysis. Results The group of 7 cases misdiagnosed rate was 19.4%,due to palpitations,dizziness,1 case,ma-trix tactic palpitation,dizziness,1 case of treatment,dizziness,headache plus chest tightness and syncope 2 hours 1 case,1 case of polyuria treatment, dizziness, low back pain and visual treatment of 2 cases, 1 case of paroxysmal and fluctuating headache. Misdiagnosed as viral myocarditis in 2 cases,1 case of vascular headache,acute anterior myocardial infarction,hy-pertension in 1 case,1 case of diabetes and glomerulonephritis in 2 cases,Misdiagnosis time was 4 d~5 years. All patients underwent surgical resection of the tumor,which is located in the left kidney in 3 cases,3 cases of right kidney,1 case of in-ferior vena cava. After surgery, blood pressure, blood sugar and so returned to normal, the condition improved after dis-charge,followed up for 3 months to 3 years better prognosis. Conclusion Atypical PHEO patients lack specific clinical symptoms and signs,so clinicians should strengthen the vigilance of atypical PHEO and the clinical manifestations,signs and imaging findings of the understanding and understanding,reduce or avoid the disease misdiagnosis,improve the level of diag-nosis and treatment of doctors to improve the prognosis of patients.
Keywords：PheochromocytomaMisdiagnosisMyocarditisGlomerulonephritis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 27-29 )