儿童起源于星状神经节的颈胸段神经母细胞瘤：肌肉骨骼保留经胸骨经肋弓入路的应用

Cervicothoracic neuroblastoma arising from the stellate ganglion in children: the use of muscle and bone sparing transmanubrial transcostal approach.

作者信息

Pimpalwar Ashwin P, Kroeker Teresa R, Ramachandran Venkatraman

机构信息

Department of Pediatric Surgery, Children's Hospital, University of Missouri, Columbia, MO 65201, USA.

出版信息

J Pediatr Surg. 2008 Mar;43(3):E31-4. doi: 10.1016/j.jpedsurg.2007.11.013.

DOI:10.1016/j.jpedsurg.2007.11.013

PMID:18358271

Abstract

Cervicothoracic neuroblastoma arising from the stellate ganglion in children has always been a challenge to the pediatric surgeon. Localized thoracic neuroblastoma in children has a very good prognosis if excised completely even without adjuvant therapy. Several approaches have been described to resect cervicothoracic neuroblastoma arising from the stellate ganglion with limited success. The muscle and bone sparing transmanubrial transcostal approach which spares the clavicle and the sternomastoid muscle provides excellent exposure for the complete excision of the tumor and excellent functional outcome. We report a 2-year-old girl with cervicothoracic neuroblastoma who had an excellent outcome with this approach.

摘要

儿童起源于星状神经节的颈胸段神经母细胞瘤一直是小儿外科医生面临的挑战。儿童局限性胸段神经母细胞瘤即使不进行辅助治疗，若能完全切除，预后也非常好。已经描述了几种切除起源于星状神经节的颈胸段神经母细胞瘤的方法，但成功率有限。保留肌肉和骨骼的经胸骨经肋 approach（此处原文可能有误，推测是经胸骨经肋间隙 approach），该方法保留锁骨和胸锁乳突肌，为肿瘤的完全切除提供了良好的暴露，并具有良好的功能结果。我们报告了一名患有颈胸段神经母细胞瘤的2岁女孩，采用这种方法取得了良好的效果。