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腹膜后神经节细胞瘤合并脊柱侧弯:一例报告及文献复习

Retroperitoneal ganglioneuroma combined with scoliosis: A case report and literature review.

作者信息

Wang Xiaolu, Yang Lu, Shi Ming, Liu Xuejuan, Liu Ya, Wang Jing

机构信息

Department of Breast Surgery Department of Urology/Institute of Urology, West China Hospital/West China Medical School, Sichuan University, Chengdu, China.

出版信息

Medicine (Baltimore). 2018 Sep;97(37):e12328. doi: 10.1097/MD.0000000000012328.

Abstract

RATIONALE

Ganglioneuroma (GN) is a rare tumour arising from the sympathetic nervous system. GN is constantly asymptomatic, easily ignored and likely damages other organs during tumour progression.

PATIENT CONCERNS

The case report involved a 21-year-old girl who was admitted to a hospital because of a computed tomography result after her pregnancy examination showed retroperitoneal tumour and scoliosis. The scoliosis was considered as a tumour complication.

DIAGNOSES

The tumour was finally diagnosed as GN by pathological examination.

INTERVENTIONS

We carried out surgical treatment and performed a pathological examination on postoperative tumour specimens.

OUTCOMES

The patient was followed up for 19 months and did not show tumour recurrence. However, the condition of the scoliosis did not improve.

LESSONS

This paper reports a case of GN with scoliosis at the same time. GN is a benign tumour consisting of cells with a special origin. GN grows extensively and leads to different complications. Presently, pathological examination after an operation is the only approach to formulate an exact diagnosis. We should consider the possibility of retroperitoneal tumour, especially GN, if a patient suffers from scoliosis with an unknown cause. Thus, CT and MRI are needed to provide additional information that would help formulate a diagnosis.

摘要

原理

神经节神经瘤(GN)是一种起源于交感神经系统的罕见肿瘤。GN通常无症状,易被忽视,且在肿瘤进展过程中可能损害其他器官。

患者情况

该病例报告涉及一名21岁女孩,她因妊娠检查后的计算机断层扫描结果显示腹膜后肿瘤和脊柱侧弯而入院。脊柱侧弯被认为是肿瘤并发症。

诊断

通过病理检查最终确诊该肿瘤为GN。

干预措施

我们进行了手术治疗,并对术后肿瘤标本进行了病理检查。

结果

对患者进行了19个月的随访,未发现肿瘤复发。然而,脊柱侧弯的情况并未改善。

经验教训

本文同时报告了一例伴有脊柱侧弯的GN病例。GN是一种由具有特殊起源的细胞组成的良性肿瘤。GN生长广泛并导致不同并发症。目前,术后病理检查是做出准确诊断的唯一方法。如果患者患有原因不明的脊柱侧弯,我们应考虑腹膜后肿瘤尤其是GN的可能性。因此,需要CT和MRI来提供有助于做出诊断的额外信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9130/6156057/ec52874f11ea/medi-97-e12328-g001.jpg

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