肾上腺节细胞神经瘤3例报告并文献复习

Report for 3 cases of adrenal ganglioneuroma and literature review

目的:探讨肾上腺节细胞神经瘤的临床症状、影像及病理表现、治疗方法。方法:回顾性分析2012年至今收治的3例肾上腺节细胞神经瘤患者的临床病例并复习相关文献。结果:3例肾上腺节细胞神经瘤患者无明显临床症状,CT平扫低密度、增强扫描无明显强化,经腹腔镜手术切除肿瘤,术后镜下病理见瘤组织内散在神经节细胞分布,免疫组化:S100(+)。结论:肾上腺节细胞神经瘤是一种罕见的良性肿瘤,大多无明显临床症状。诊断主要依赖CT,术后病理及免疫组化确诊。腹腔镜手术为目前首选治疗方法,大多数预后良好。

Objective： To discuss the clinical,medical imaging symptoms,pathological and therapy of the adrenal ganglioneuroma. Methods： Retrospective analysis 3 cases of the adrenal ganglioneuroma in our hospital in the past 4years and summarize the correlative literature. Results： Adrenal ganglioneuroma had no obvious clinlcal symptoms of the 3 cases,CT scanning showed low density and CT enhanced scanning showed no enhancement. After the tumor removed by laparoscopic surgery,microscopic pathology could see the ganglioneuroma cells scattered in the tumor tissues and the immunohistochemical rusult： S100（ ＋）. Conclusion： Adrenal ganglioneuroma was a rare benign tumor,which does not show obvious symptoms. Mostly diagnosis depends on CT scan,pathological and immunohistochemical.Preferred treatment is laparoscopic surgery,most the tumor have a good prognosis.