肾上腺节细胞神经瘤3例报告  

Adrenal ganglioneuroma(Report of 3 cases)

作　　者：谢克基[1] 陆灿辉[1] 张甘雄 刘建平[1] 曾格瓦[1] 谢文琪[1] 王东辉[1] 

机构地区：[1]广州医学院附属第二医院泌尿外科,广州510260

出　　处：《临床泌尿外科杂志》1999年第3期111-112,共2页Journal of Clinical Urology

摘　　要：目的:探讨肾上腺节细胞神经瘤的病因病理、临床症状及诊断治疗。方法:报告3例肾上腺节细胞神经瘤的临床资料,2例经右11肋间切口行右肾上腺切除术,1例经腹行左肾根治性切除术。结果:术后生存良好,分别随访89、48和10个月,均未发现肿瘤复发和转移。结论:肾上腺节细胞神经瘤是一种罕见的良性肿瘤,多数临床症状不明显,B超显示实质性包块,回声均匀,回声强度与肝脾实质相似;CT显示圆形或类圆形实质性包块,密度低于肌肉,增强后有轻度强化,并可有轻度的非均质性;手术切除是其主要的治疗方法。Purpose:To probe into pathogeny,pathology,symptoms diagnosis and treatment of adrenal ganglioneuroma.Methods:3 cases of adrenal ganglioneuroma were reported and drscussed with review of the literature.Results:Recurrences and metastases could not be found postoperatively during follows up of 89,48,10 months respectively in 3 cases of adrenal ganglioneuroma.Conclusions:Adrenal ganglioneuromas are rare benign tumors,most of which have not obvious symptoms.Their imaging characteristics include homogeneous,moderate echogenicity on B US scans;attenuation entirely or predominantly less than that of muscle on contrast material enhanced CT imagines,heterogeneous,predominantly high signal intensity on T2 weighted MR imagine.Surgical resection of the tumor is the major therapy and the prognosis of most patients is good.

关 键 词：肾上腺肿瘤 节细胞神经瘤 病因 病理 诊断 

分 类 号：R736.6[医药卫生—肿瘤]