肾上腺节细胞神经瘤的临床诊治特点（附20例报告）

Clinical,diagnostic and therapeutic features of adrenal ganglioneuroma：a report of 20 cases

目的 总结肾上腺节细胞神经瘤的临床诊治特点.方法 对20例肾上腺节细胞神经瘤患者分别行后腹腔镜下肿瘤摘除术（18例）及行开放手术（2例）.结果 切除肿瘤大小3.6cm×2.7cm×1.8cm～9.2cm×5.5cm×4.2cm.所有患者术中血压均无明显波动,术后无并发症发生,恢复较好.其中12例随访1～36个月肿瘤无复发和转移,8例失访.结论 肾上腺节细胞神经瘤是一种较少见的良性肿瘤,确诊主要依靠病理学检查,主要治疗方法为外科手术,包括腹腔镜或开放手术,一般预后较好.

Objective To summarize the clinical, diagnostic and therapeutic features of adrenal ganglioneuroma. Methods A total of 20 patients with pathologically-proved adrenal ganglioneuroma received surgical treatment, including 18 cases of laparoscopic tumor resection and 2 cases of open surgery. Results The size of the resected tumors ranged from 3.6 cm × 2.7 cm × 1.8 cm to 9.2 cm × 5.5 cm × 4. 2 cm. No significant intraoperative blood pressure fluctuations were noted for all the patients and they recovered well with no postoperative complications. During a follow-up period ranging from 1 to 36 months, no recurrence were found in 12 cases and 8 cases were lost to follow-up. Conclusion Adrenal ganglioneuroma is a rare benign tumor and the diagnosis mainly depends on pathological examination. Surgery including laparoscopic or open route is the main treatment option for the disease and the prognosis is usually good.