1例儿童肾上腺畸胎瘤报道及CT影像分析  

A case report and CT imaging analysis of an adrenal teratoma in a child

作　　者：吴文华 张珊珊 杨秀益 WU Wenhua;ZHANG Shanshan;YANG Xiuyi(Department of Medical Imaging,The People's Hospital of Songtao Miao Autonomous County,Tongren,Guizhou 554100,China)

机构地区：[1]松桃苗族自治县人民医院医学影像科,贵州铜仁554100

出　　处：《医药前沿》2025年第3期45-47,共3页Journal of Frontiers of Medicine

摘　　要：分析肾上腺畸胎瘤的CT影像特征及其鉴别诊断方法。对1例肾上腺畸胎瘤患儿的临床资料进行回顾性研究,并广泛参考国内外关于肾上腺肿瘤的权威文献。结果显示,患儿出现左侧腰腹部疼痛,CT扫描提示左侧肾上腺占位性病变,且其糖类抗原19-9水平略有上升。通过腹腔镜手术切除并进行病理分析,确认为左肾上腺畸胎瘤。肾上腺畸胎瘤作为一种罕见的生殖细胞肿瘤,在儿童中更为少见。该病临床表现缺乏特异性,影像学检查在诊断中占据重要地位,而病理诊断则是最终的确诊标准。To analyze the CT imaging features and differential diagnosis methods of adrenal teratoma.Methodologically,we conducted a retrospective study of the clinical data of a pediatric patient and extensively reviewed authoritative literature on adrenal tumors both domestically and internationally.The results showed that the patient presented with left lumbar and abdominal pain.CT scanning revealed a space-occupying lesion in the left adrenal gland,and the patient's carbohydrate antigen 19-9 level was slightly elevated.Ultimately,laparoscopic surgery was performed for resection,and pathological analysis confirmed the diagnosis of left adrenal teratoma.The conclusion points out that adrenal teratoma is a rare germ cell tumor,even more uncommon in children.Due to its nonspecific clinical manifestations,imaging examinations play a crucial role in diagnosis,while pathological diagnosis serves as the definitive confirmation.

关 键 词：儿童 肿瘤 肾上腺 畸胎瘤 CT 影像分析 诊断 回顾性研究 

分 类 号：R586[医药卫生—内分泌]