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一名8岁儿童的骶前神经节神经瘤:病例报告及文献综述。

Presacral ganglioneuroma in an 8-year-old child: case report, and literature review.

作者信息

Abbou Widad, Guerrouj Imane, Tiabi Mahdi, Derouich Yassine, Bennani Amal, Benhaddou Houssain, Skiker Imane, Kamaoui Imane

机构信息

Department of Radiology, Mohammed VI University hospital, faculty of Medicine, University Mohammed first, Oujda, Morocco.

Department of anatomopathology, Mohammed VI University hospital, faculty of Medicine, University Mohammed first, Oujda, Morocco.

出版信息

Radiol Case Rep. 2022 Apr 4;17(6):1866-1869. doi: 10.1016/j.radcr.2022.02.060. eCollection 2022 Jun.

DOI:10.1016/j.radcr.2022.02.060
PMID:35401895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8990051/
Abstract

Ganglioneuromas are benign tumors of the sympathetic nervous system, rarely found in the presacral region. In this study, we report the case of presacral ganglioneuroma in an 8-year-old girl, who complained of abdominal pain with diarrhea and abdominal distension. Ultrasound showed a large hypoechoic pelvic mass complicated by right ureter hydronephrosis. the CT and MRI confirm the presence of a presacral tissue mass with heterogeneous enhancement after contrast injection. The child underwent a complete surgical resection, and the anatomopathological study returned in favor of a ganglioneuroma. The presacral ganglioneuroma is an extremely rare tumor in that only twenty cases have been reported in the literature. 3 of which were less than 8-years-old. Through our case, we will review the epidemiological, clinical, radiological and therapeutic characteristics of this type of tumor.

摘要

神经节神经瘤是交感神经系统的良性肿瘤,很少见于骶前区域。在本研究中,我们报告了一名8岁女孩骶前神经节神经瘤的病例,该女孩主诉腹痛伴腹泻和腹胀。超声显示盆腔有一个大的低回声肿块,并伴有右侧输尿管积水。CT和MRI证实骶前有一个组织肿块,注射造影剂后呈不均匀强化。该患儿接受了完整的手术切除,解剖病理学研究结果支持神经节神经瘤的诊断。骶前神经节神经瘤是一种极其罕见的肿瘤,文献中仅报道过20例,其中3例患者年龄小于8岁。通过我们的病例,我们将回顾这类肿瘤的流行病学、临床、放射学和治疗特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/6d74f1e4e451/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/d72f3e819d03/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/d7964c31da8c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/03434fd66e48/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/6d74f1e4e451/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/d72f3e819d03/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/d7964c31da8c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/03434fd66e48/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13b1/8990051/6d74f1e4e451/gr4.jpg

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本文引用的文献

1
Large ganglioneuroma presenting as presacral mass.表现为骶前肿块的巨大神经节瘤。
BJR Case Rep. 2016 Nov 2;2(4):20150361. doi: 10.1259/bjrcr.20150361. eCollection 2016.
2
Presacral ganglioneuroma: diagnostic considerations and therapeutic strategy.骶前神经节神经瘤:诊断要点与治疗策略
Case Rep Oncol. 2013 Nov 7;6(3):561-8. doi: 10.1159/000356707. eCollection 2013.
3
Sporadic synchronous ganglioneuromas in a child--case report and review.儿童散发性同步节细胞神经瘤——病例报告并文献复习
J Pediatr Surg. 2010 Apr;45(4):822-5. doi: 10.1016/j.jpedsurg.2010.01.027.
4
Ganglioneuromas of the sacrum-a report of two cases with radiologic-pathologic correlation.骶骨神经节细胞瘤——两例影像学与病理学对照报告
Skeletal Radiol. 2006 Feb;35(2):117-21. doi: 10.1007/s00256-005-0028-6. Epub 2005 Nov 29.
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Presacral ganglioneuromas. Report of five cases and review of the literature.骶前神经节神经瘤:5例报告并文献复习
J Neurosurg Spine. 2005 Mar;2(3):366-71. doi: 10.3171/spi.2005.2.3.0366.