CAJ | 학술논문

目的：探讨肾上腺节细胞神经瘤超声表现及病理特征以提高对该病诊断水平。方法回顾分析经手术病理证实的12例肾上腺节细胞神经瘤患者的超声及病理资料。重点观察病灶的部位、形态、大小、回声特点、有无钙化、彩色血流信号以及病灶与周围组织的关系。结果12例中，9例发生在右侧肾上腺，3例发生在左侧肾上腺，均为单发，肿瘤直径1.8～12cm，多呈类圆形或椭圆形，部分呈不规则形或“嵌入式”生长，肿瘤均呈低回声，5例内部见强或高回声，病理证实为钙化，3例肿瘤可见少量点状彩色血流信号，12例肿瘤均与周围结构清晰。病理上肿瘤主要由神经节细胞及施旺细胞组成。结论肾上腺节细胞神经瘤的超声具有一定特征性，观察肿瘤生长部位、形态及回声特点，对该肿瘤的诊断具有重要价值。
목적：탐토신상선절세포신경류초성표현급병리특정이제고대해병진단수평。방법회고분석경수술병리증실적12례신상선절세포신경류환자적초성급병리자료。중점관찰병조적부위、형태、대소、회성특점、유무개화、채색혈류신호이급병조여주위조직적관계。결과12례중，9례발생재우측신상선，3례발생재좌측신상선，균위단발，종류직경1.8～12cm，다정류원형혹타원형，부분정불규칙형혹“감입식”생장，종류균정저회성，5례내부견강혹고회성，병리증실위개화，3례종류가견소량점상채색혈류신호，12례종류균여주위결구청석。병리상종류주요유신경절세포급시왕세포조성。결론신상선절세포신경류적초성구유일정특정성，관찰종류생장부위、형태급회성특점，대해종류적진단구유중요개치。
Objective To explore the ultrasonography findings and pathological features of adrenal ganglioneuroma and to improve diagnostic level. Methods Ultrasonography appearance and clinical pathological data of 12 cases of primary adrenal ganglioneuroma were retrospectively analyzed. The location, shape, size, echo characteristics, with or without calcification, the color signal of blood flow and its neighboring structure relationship on ultrasound were analyzed. Re-sults In 12 cases, 9 cases were found in the right adrenal gland and 3 cases in the left. All the tumors were solitary and the diameter was between 1.8 and 12 cm. The tumors were round or oval, some irregular or"embedded" growth. E-chogenic focus were found in 5 cases which was pathologically confirmed calcification, 3 cases of tumor showed a small dot color flow signal, all tumors with clear boundaries around the surrounding tissue. Pathology of tumor was mainly composed of ganglion cells and Schwann cells. Conclusion Ultrasonography is of great value in the diagnosis of adrenal ganglioneuroma owing to some specific sonograms.