CAJ | 학술논문

目的：分析儿童节细胞神经瘤的CT表现，提高对其诊断的准确性。方法回顾性分析经手术病理证实的6例儿童节细胞神经瘤的CT表现，其中5例患儿行增强扫描。结果3例病灶位于肾上腺，2例位于左侧后纵隔，1例位于右侧后纵隔，病灶主要表现为境界清晰类圆形肿块，部分向周围组织嵌入性生长，CT平扫时密度较低，其中4例出现散在点线钙化，增强后病灶轻度强化甚至局部不强化，部分渐进性强化。结论儿童节细胞神经瘤CT平扫及增强扫描具有一定的特征性，可提高临床诊断率。
목적：분석인동절세포신경류적CT표현，제고대기진단적준학성。방법회고성분석경수술병리증실적6례인동절세포신경류적CT표현，기중5례환인행증강소묘。결과3례병조위우신상선，2례위우좌측후종격，1례위우우측후종격，병조주요표현위경계청석류원형종괴，부분향주위조직감입성생장，CT평소시밀도교저，기중4례출현산재점선개화，증강후병조경도강화심지국부불강화，부분점진성강화。결론인동절세포신경류CT평소급증강소묘구유일정적특정성，가제고림상진단솔。
Objective To investigate the features of the ganglioneuroma in childhood on CT, in order to improve the accuracy of diagnosis. Methods CT findings of 6 patients with ganglioneuroma proved pathologically were reviewed retrospectively. Enhanced scan were performed in 5 cases. Results Among the 6 cases, lesions of 3 cases were located in adrenal, with 2 in left posterior mediastinum and 1 in right posterior. The lesions were mainly characterized as well-defined and round mass, and showed a tendency of wedging into the space of surrounding organization. The attenuation of lesions was slightly low on plain CT. Multiple punctate calcifications could be observed in 4 lesions. After contrast injection, the le-sions enhanced mildly or did not enhance, with the attenuation partly increasing with time. Conclusion The CT features of ganglioneuromas are typical, which are helpful in improving the diagnostic accuracy.