CAJ | 학술논문

目的探讨肾上腺节细胞神经瘤的诊断与治疗经验.方法回顾性分析本院1998年8月～2011年4月肾上腺节细胞神经瘤25例的临床资料,包括临床表现、体征、辅助检查、病理特征、诊断及鉴别诊断、治疗及预后.结果本组患者男10例,女15例,年龄3～ 63岁,平均(33.5 ±15.3)岁.肿瘤直径1.5 ～10.2cm,平均(6.2±1.6)cm.临床表现腰背部疼痛3例(12.0％),头晕、头痛、胸闷、心悸5例(20.0％),高血压7例(28.0％).左侧5例,右侧20例.开放手术16例,腹腔镜手术9例.24例术后病理均诊断为肾上腺节细胞神经瘤,其中1例术后病理诊断肾上腺节细胞神经瘤合并嗜铬细胞瘤.随访1～14年,平均(7.2±1.3)年,1例失访,均未见肿瘤复发.结论肾上腺节细胞神经瘤多无特异性临床表现.诊断主要依据影像学检查及术后病理,手术切除预后良好.
목적 탐토신상선절세포신경류적진단여치료경험.방법 회고성분석본원1998년8월～2011년4월신상선절세포신경류25례적림상자료,포괄림상표현、체정、보조검사、병리특정、진단급감별진단、치료급예후.결과 본조환자남10례,녀15례,년령3～ 63세,평균(33.5 ±15.3)세.종류직경1.5 ～10.2cm,평균(6.2±1.6)cm.림상표현요배부동통3례(12.0％),두훈、두통、흉민、심계5례(20.0％),고혈압7례(28.0％).좌측5례,우측20례.개방수술16례,복강경수술9례.24례술후병리균진단위신상선절세포신경류,기중1례술후병리진단신상선절세포신경류합병기락세포류.수방1～14년,평균(7.2±1.3)년,1례실방,균미견종류복발.결론 신상선절세포신경류다무특이성림상표현.진단주요의거영상학검사급술후병리,수술절제예후량호.
Objectives To discuss the diagnosis and treatment of adrenal ganglioneuroma.Methods Twenty-five cases of adrenal ganglioneuroma at our hospital from August 1998 to April 2011 were reviewed.Their clinical manifestation,physical signs,the auxiliary examination,pathological characteristics,diagnosis and differential diagnosis and treatment as well as follow-up data were analyzed retrospectively.Results Here were 10 males and 15 females with all age range of 3 ～ 63 (33.5 ± 15.3) years old.The range of tumor diameter is 1.5 ～ 10.2 cm and the average is (6.2 ± 1.6) cm.The presenting symptoms and signs of the patients were back pain(n =3,12.0％),dizziness,headache,chest tightness and heart palpitations (n =5,20.0％),hypertension (n =7,28.0％),and 5 cases left,twenty cases right.24 case were diagnosis Adrenal Ganglioneuromas Preoperatively after operation.And 1 case was diagnosis Adrenal Ganglioneuromas and adrenal pheochromocytoma.Among all cases,either open operation (n =16) or retroperitoneal laparoscopic excision (n =9) was performed successfully.No recurrence was detected after a follow-up period of 1 ～ 14 years,but 1 case lost to follow-up.Conclusions Adrenal Ganglioneuromas is often found incidentally without specific clinic symptoms.The Diagnosis of Adrenal Ganglioneuromas is mainly based on imaging examination,and postoperative pathology.The Surgical resection of Adrenal Ganglioneuromas is good.