Tsumatani K, Hayashi Y, Tabata S, Iwai A, Hiramatsu T
Department of Urology, Nissei Hospital.
Hinyokika Kiyo. 1989 Nov;35(11):1897-901.
A 38-year-old man was referred to our clinic with the complaint of upper abdominal discomfort. Ultrasonography and computerized tomography showed a mass occupying the left retroperitoneal space. Endoclinological results were within the normal range except for 17-OHCS and 17-KS. Preoperative diagnosis was left non-functioning adrenal tumor. Exploration was done via transperitoneal approach. The specimen weighed 100 g and was 11 x 6 x 5 cm in size. Histopathological diagnosis was ganglioneuroma of the left adrenal gland. There have been 35 reported cases with ganglioneuroma of the adrenal gland including our case in the Japanese literature and we reviewed the pathogenesis and treatment of this rare disease.
一名38岁男性因上腹部不适前来我院就诊。超声检查和计算机断层扫描显示左腹膜后间隙有一肿块。内分泌检查结果除17-OHCS和17-KS外均在正常范围内。术前诊断为左肾上腺无功能肿瘤。经腹途径进行探查。标本重100克,大小为11×6×5厘米。组织病理学诊断为左肾上腺神经节瘤。日本文献中包括我们的病例在内,已有35例肾上腺神经节瘤的报道,我们回顾了这种罕见疾病的发病机制和治疗方法。