CAJ | 학술논문

目的：探讨几种少见的起源于肾上腺的神经源性肿瘤的临床病理特征及影像学表现，提高诊断水平。方法回顾性分析经病理证实的23例少见肾上腺神经源性肿瘤的临床病理特征及 CT 、MRI 表现。结果23例中，节细胞神经瘤12例，神经母细胞瘤5例，神经鞘瘤4例，节细胞神经母细胞瘤2例。其中，节细胞神经瘤多见于中青年男性，神经鞘瘤多见于中年人，神经母细胞瘤及节细胞神经母细胞瘤多见于儿童及青少年。各类肿瘤均有一定的 CT 、MRI 表现特征，并与其病理学表现具有相关性，部分肿瘤表现相似需加以鉴别。结论了解肾上腺少见神经源性肿瘤的临床病理特征及 CT 、MRI 特异性表现，有利于提高诊断能力并指导临床治疗。
목적：탐토궤충소견적기원우신상선적신경원성종류적림상병리특정급영상학표현，제고진단수평。방법회고성분석경병리증실적23례소견신상선신경원성종류적림상병리특정급 CT 、MRI 표현。결과23례중，절세포신경류12례，신경모세포류5례，신경초류4례，절세포신경모세포류2례。기중，절세포신경류다견우중청년남성，신경초류다견우중년인，신경모세포류급절세포신경모세포류다견우인동급청소년。각류종류균유일정적 CT 、MRI 표현특정，병여기병이학표현구유상관성，부분종류표현상사수가이감별。결론료해신상선소견신경원성종류적림상병리특정급 CT 、MRI 특이성표현，유리우제고진단능력병지도림상치료。
Objective To investigate the clinicopathologic features and imaging findings of several kinds of uncommon adrenal neurogenic tumors in order to improve the accuracy of diagnosis .Methods MRI or CT appearance and clinicopath‐ologic features in 23 cases of histopathology confirmed adrenal neurogenic tumors were retrospectively analyzed .Results Among 23 cases ,there were ganglioneuroma in 12 ,neuroblastoma in 5 ,neurilemmoma in 4 and ganglioneuroblastoma in 2 .Ganglioneuromas were most often seen in young and middle‐aged men ,neurilemmomas were always identified in mid‐dle‐aged adults .Neuroblastomas and ganglioneuroblastomas most commonly occurred during the first 20 years of life ,pre‐dominantly children and adolescents .Every kind of diseases had some imaging features having correlation with their patho‐logic features ,some of which were similar and must be differentiated .Conclusion Knowing the clinicopathologic features and characteristic imaging findings of uncommon adrenal neurogenic tumors is conducive to improve the diagnostic ability and to guide the clinical treatment .