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[儿童腹膜后神经节细胞瘤]

[Retroperitoneal ganglioneuroma in childhood].

作者信息

Vara Castrodeza A, Madrigal Rubiales B, Pérez del Río M J, García Hernández J B, Ablanedo Ablanedo P

机构信息

Servicio de Radiología, Hospital Na Sa Covadonga, Oviedo, Asturias, España.

出版信息

Arch Esp Urol. 2000 Sep;53(7):648-51.

Abstract

OBJECTIVE

An incidentally discovered retroperitoneal ganglioneuroma in a 4-year-old child is presented.

METHODS

Ultrasonography and CT were performed. The surgical specimen was analyzed by macroscopic, histological and immunohistochemical techniques.

RESULTS

US and CT localized a retroperitoneal mass independent from the left kidney and adrenal gland. The histological study showed a fascicular proliferation with myxoid and fibrillar areas mixed with mature ganglion cells. These cells were positive for neurofilament and neuron specific enolase. The patient had a favorable outcome with no signs of tumor recurrence.

CONCLUSIONS

Ganglioneuroma is a rare, completely mature tumor that has to be differentiated from neuroblastoma.

摘要

目的

报告一例4岁儿童偶然发现的腹膜后神经节细胞瘤。

方法

进行了超声检查和CT检查。手术标本采用大体、组织学和免疫组化技术进行分析。

结果

超声和CT定位了一个独立于左肾和肾上腺的腹膜后肿块。组织学研究显示有束状增生,伴有黏液样和纤维状区域,混有成熟的神经节细胞。这些细胞神经丝和神经元特异性烯醇化酶呈阳性。患者预后良好,无肿瘤复发迹象。

结论

神经节细胞瘤是一种罕见的、完全成熟的肿瘤,必须与神经母细胞瘤相鉴别。

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