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胸腰段椎旁巨大神经节神经瘤与脊柱侧弯:一例报告并文献复习

Thoracolumbar paravertebral giant ganglioneuroma and scoliosis: a case report and literature review.

作者信息

Yang Yihao, Ren Mingyan, Yuan Zhongqin, Li Kun, Zhang Zhiping, Zhang Jing, Xie Lin, Yang Zuozhang

机构信息

Department of Orthopaedics, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, Yunnan, 650118, People's Republic of China.

Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, Yunnan, 650118, People's Republic of China.

出版信息

World J Surg Oncol. 2016 Mar 5;14:65. doi: 10.1186/s12957-016-0823-7.

Abstract

Paravertebral ganglioneuroma and scoliosis is a rare clinical benign disease. The case we reported is about a 12-year-old girl who was hospitalized due to neoplasm with spinal deformity in the right abdomen for 1 month. Based on a careful preoperative evaluation and found no obvious surgery contraindications, the patient was treated with surgical resection of the tumor and correction of the deformity by surgery. Postoperative pathologic examination confirmed it was a ganglioneuroma. After the operation, the patient recovered well. Her spinal deformity was corrected, and she was 5 cm taller. Complete resection of ganglioneuroma following with a low recurrence rate and a good prognosis, patient does not need further chemotherapy, radiation therapy, or other treatments. All follow-up radiographic studies demonstrated no relapse of the tumor in the following 18 months. Combining this case with similar cases at home and aboard and reviewing related literature, we formed conclusions based on the manifestations, diagnosis, treatment, and prognosis of this disease and provided treatments for similar cases.

摘要

椎旁神经节神经瘤合并脊柱侧弯是一种罕见的临床良性疾病。我们报道的病例是一名12岁女孩,因右腹部肿瘤伴脊柱畸形入院1个月。经过仔细的术前评估,未发现明显手术禁忌证,对患者进行了肿瘤手术切除及畸形矫正手术。术后病理检查证实为神经节神经瘤。术后患者恢复良好。脊柱畸形得到矫正,身高增长了5厘米。神经节神经瘤完整切除后复发率低,预后良好,患者无需进一步化疗、放疗或其他治疗。所有随访影像学检查显示,在接下来的18个月里肿瘤未复发。结合本病例及国内外类似病例并复习相关文献,我们基于该疾病的表现、诊断、治疗及预后得出结论,并为类似病例提供了治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530a/4779567/b78f48e52497/12957_2016_823_Fig1_HTML.jpg

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