p********t
发帖数: 2570 | 1 我爸爸前一阵血压忽然升高到高压190（以前没有高血压病史），然后住进了医院，血
压几个小时之内恢复正常。
医生根据他的症状，怀疑他是嗜铬细胞瘤。但是告诉他，目前国内确诊嗜铬细胞瘤需要
用的放射性试剂因为利润小，所以全国范围内缺货，诊断仪器倒是有，但是没有试剂无
法确诊。并且照CT并没有任何结果。
因为嗜铬细胞瘤基本都是良性的，并且CT也没有照出任何结果，医生也不担心，就告诉
我爸，如果能在美国确诊、找到嗜铬细胞瘤位置，回国可以手术。
请问一下这个病在美国自费看应该去什么诊所？大概费用要花多少？ | a**********2
发帖数: 3726 | 2 huh, is that the most likely diagnosis the doctor gave to your father?
because it is really uncommon. For the diagnosis of pheochromocytoma, he
would need two step tests, first check plasma or 24 hour urine epinephrine
and metanephrine, if elevated, then proceed to the localization, which will
be done by CT scan, if CT scan is negative, then nuclear scan. But according
to what you said, I am not sure whether the first step was done. If not,
then it is very very inapporpriate to jump to CT scan and nuclear scan
because there are many causes of secondary hypertension which need to be
investigated and should be high on the differential diagnosis list.
However, if epinephrine and metanephrine is elevated, and nuclear scan will
be followed after negative CT scan, then you would need to to go
endocrinology clinic and go from there (the endocrinologist may refer you to
other specialities). And your father does not need to get all the workup
done here in the US, it is much cheaper in China. Some hospitals must have
the nuclear reagents for the test. |
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