肾上腺原发性节细胞神经瘤的影像、病理、临床诊治特点分析

The experience of imaging and pathology features of adrenal ganglioneuroma

目的总结肾上腺原发性节细胞神经瘤影像学、病理学特点、诊治方法及后腹腔镜手术治疗经验。方法回顾性分析2003年1月至2015年12月在本院收治行后腹腔镜手术切除肾上腺原发性节细胞神经瘤患者16例，分析影像学、病理学特点及临床诊治经验，为临床治疗提供优选方法。结果所有患者经后腹腔镜手术治疗，除1例中转开放外均获成功。影像学cT特征呈渐进性轻度延时强化，术后病理证实均为肾上腺节细胞神经瘤，其中1例合并有肾上腺皮质部分呈增生性改变，术后随访未见复发和转移。结论肾上腺节细胞神经瘤影像学cT检查有其特征性表现，结合病理学特点进行影像学分析，可提高术前确诊率。后腹腔镜手术切除肾上腺节细胞神经瘤是安全可行，可作为治疗的首选方法。

Objective To sum up the experience of imaging and pathology of retroperitoneoseopie surgery for adrenal ganglioneuroma. Methods Sixteen eases of adrenal ganglioneuroma treated by retroperitoneoseopic operations in our hospital from January 2003 to December 2015 were reviewed and analyzed. Results All of these patients underwent retroperitoneoseopie surgery exeept for one ease. All patients were examined by CT before operation and CT image eharacteristies in progressive mild delay reinforcement was found. Pathology results confirmed the diagnosis of adrenal ganglioneuroma. No recurrence or metastasis was observed in postoperative follow-up. Conclusions Adrenal ganglioneuroma of imaging and pathology has its characteristics. By combining with characteristics of both, we can improve the preoperative diagnosis. Retroperitoneo-scopic surgery for adrenal ganglioneuroma is feasible and safe and should be considered as the first choice for surgical treatments.