新生儿肾上腺神经母细胞瘤的超声表现  

Ultrasonic Manifestation of Neonatal Adrenal Neuroblastoma

作　　者：刘瑶 王晓曼[1] 贾立群[1] Liu Yao;Wang Xiaoman;Jia Liqun(Department of Ultrasound,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心首都医科大学附属北京儿童医院超声科,北京市100045

出　　处：《中国超声医学杂志》2021年第3期282-284,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的总结新生儿肾上腺神经母细胞瘤的超声图像特点,提高其超声诊断准确度。方法回顾性分析我院经病理证实为新生儿肾上腺神经母细胞瘤的46例病例的超声图像特征。结果瘤灶位于单侧肾上腺44例(95.7%)(左侧19例,右侧25例),双侧肾上腺均有瘤灶2例。10例伴钙化(21.7%)。瘤灶最大径2.4~8.4 cm,均未包绕腹膜后大血管。本病例中Ⅰ、Ⅱ期患儿33例,ⅣS期(伴肝脏转移)13例(28.3%)。产前超声发现腹部包块29例。结论新生儿肾上腺神经母细胞瘤绝大部分为实性,少数囊性为主。属于Ⅰ、Ⅱ期或ⅣS期,预后好。超声作为无辐射检查,不仅可用作术前诊断、监测及术后随访,同时可为产前咨询提供帮助。Objective To summarize the characteristics of ultrasound images of neonatal adrenal neuroblastoma, improve the accuracy of ultrasound diagnosis. Methods A retrospective analysis of ultrasound features of 46 cases of neonatal adrenal neuroblastoma, which confirmed by pathology in our hospital. Results There are 44 cases(95.7%) were located in unilateral adrenal gland(19 cases on the left and 25 cases on the right), and 2 cases in bilateral adrenal gland. Calcification was found in 10 cases(21.7%). The maximum diameter of tumor is 2.4-8.4 cm, and all of them did not surround the retroperitoneal vessels. In this group, 33 cases were in stage Ⅰ and Ⅱ, and 13 cases(28.3%) were in stage ⅣS(with liver metastasis). 29 cases of abdominal mass detected by prenatal ultrasound. Conclusions Most of Neonatal adrenal neuroblastoma are solid and a few are cystic. It belongs to stage Ⅰ, Ⅱ or ⅣS, with a good prognosis. As a non-radiation examination, ultrasound can not only be used for preoperative diagnosis, monitoring and postoperative follow-up, but also can offered help for prenatal consultation.

关 键 词：神经母细胞瘤 肾上腺 新生儿 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R736.6[医药卫生—诊断学]