原发性肾上腺节细胞神经瘤的诊治特点及影像学病理学分析  

The experiences of imaging and pathology features of adrenal ganglioneuroma

作　　者：李玲[1] 张婷婷[1] 刘静[1] 袁荫田 刘鹏[1] 李黎明[2] Li Ling Zhang Tingting Liu Jing Yuan Yintian Liu Peng Li Liming(Department of Urology, Shouguang Hospital Affiliated to Weifang Medical University, Shangdong 262700, China Department of Urology, General Hospital of Tianjin Medical University, Tianjin 300052, China)

机构地区：[1]潍坊医学院附属寿光人民医院泌尿外科,山东262700 [2]天津医科大学总医院泌尿外科,300052

出　　处：《中华腔镜泌尿外科杂志（电子版）》2017年第1期8-11,共4页Chinese Journal of Endourology(Electronic Edition)

基　　金：山东省卫生厅科研项目(2011HW076)

摘　　要：目的总结肾上腺节细胞神经瘤影像学、病理学特点及后腹腔镜手术治疗经验。方法回顾性分析寿光人民医院收治的12例行后腹腔镜手术切除的肾上腺节细胞神经瘤的影像学、病理学特点及临床经验。结果所有患者经后腹腔镜手术治疗,除1例中转开放外均获成功,影像学CT特征呈渐进性轻度延时强化,术后病理证实为肾上腺节细胞神经瘤,其中1例合并肾上腺皮质部分增生性改变,术后随访未见复发和转移。结论肾上腺节细胞神经瘤影像学CT检查有其特征性表现,结合病理学特点来进行影像学读片,可提高术前确诊率;后腹腔镜手术切除肾上腺节细胞神经瘤安全可行,可作为治疗的首选方法。Objective To sum up the experiences of imaging and pathology of retroperitoneoscopic surgery for adrenal ganglioneuroma. Methods Twelve cases of Adrenal ganglioneuroma treated by retroperitoneoscopic operations in Shouguang Hospital Affiliated to Weifang Medical University, were reviewed and analyzed. Results All these patients underwent retroperitoneoscopic surgery except for 1 case. CT image characteristic is progressive mild delay reinforcement in all patients. Pathology results confirmed the diagnosis of adrenal ganglioneuroma, No recurrence was found in followup. Conclusions By combining imaging and pathology, we can improve the preoperative diagnosis of adrenal ganglioneuroma. Retroperitoneo-scopic surgery for adrenal ganglioneuroma is feasible and safe and should be considered as the first choice for surgical treatments.

关 键 词：肾上腺肿瘤 节细胞神经瘤 影像学 病理学 

分 类 号：R736.6[医药卫生—肿瘤]