Chen Peijie, Lin Canbin, Jin Lu, Ding Yu, Peng Jian, Chen Zebo, Yang Shangqi, Mao Xiangming, Lai Yongqing
Shantou University Medical College, Shantou, Guangdong, 515041, PR China.
Department of Urology, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518036, PR China.
Urol Case Rep. 2017 Apr 19;13:37-38. doi: 10.1016/j.eucr.2017.03.024. eCollection 2017 Jul.
Adrenal ganglioneuroma (AGN) is an extremely rare and benign entity comprising Schwann cells and ganglion cells. If the lesion approaches to 6 cm, laparoscopic resection is considered as relative contraindication. Now we present a giant adrenal AGN in a 25-year-old male patient. After abdominal computed tomography (CT) scanning, the patient underwent an exploratory laparotomy with right adrenalectomy and histopathological examination further confirmed the lesions as giant AGN, which measured 7 cm × 5 cm × 3.5 cm. Because giant AGN with lesion size greater than 6 cm should be treated by open surgery, it is significant to report the laparoscopic adrenalectomy in patients with large adrenal lesions.
肾上腺神经节细胞瘤(AGN)是一种极为罕见的良性病变,由施万细胞和神经节细胞组成。如果病变接近6厘米,腹腔镜切除术被视为相对禁忌证。我们现报告一名25岁男性患者的巨大肾上腺AGN。腹部计算机断层扫描(CT)后,患者接受了剖腹探查术及右肾上腺切除术,组织病理学检查进一步证实病变为巨大AGN,大小为7厘米×5厘米×3.5厘米。由于病变大小大于6厘米的巨大AGN应采用开放手术治疗,因此报告大肾上腺病变患者的腹腔镜肾上腺切除术具有重要意义。