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A Giant Retroperitoneal Ganglioneuroma with Intraspinal Involvement: Report of One Case

巨大後腹腔神經節細胞瘤併有椎管內侵犯:一病例報告

摘要


脊術旁神經瘤一般約有百分之十會合併椎管內侵犯,同時也可能有神經症狀。文獻上報告此類腫瘤大都位於後縱膈腔,我們報告一個病例,本病例爲一個九歲小女孩因腹部不適作超音波檢查意外發現一後腹腔腫瘤,並導致右側水腎。經一系列檢查證實爲一神經節細胞瘤併有椎管內侵犯,我們成功地兩階段手術將此腫瘤切除,術後沒有神經學方面之後遺症。本病例特殊之處於她的啞鈴型神經節細胞瘤並沒有造成神經方面症狀,且位於後腹腔內爲一罕見位置。本文將討論神經節細胞瘤的臨床症狀,影像學,治療,及預後。

並列摘要


A 9-year-old girl was discovered to have had a huge retroperitoneal mass causing moderate hydronephrosis and anterior displacement of the right kidney and which was found on a renal ultrasonographic examination. A series of examinations including (1) IVP, (2) abdominal computed tomography, (3) MRI and (4) incisional biopsy revealed a giant dumb-bell shaped retroperitoneal ganglioneuroma with intraspinal involvement. Secondary scoliosis was also noticed. We successfully resected the huge ganglioneuroma of the right retroperitoneum in a two stage procedure; her postoperative course was uneventflu.

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