小兒神經母細胞瘤放射線學檢查發現

NEUROBLASTOMA - RADIOGRAPHIC FINDINGS

陳啟昌(Chen Chi-Chang) ； 刁翠美(Tiu Chui-Mei) ； 周宜宏(Chou Yi-Hong) ； 王家槐(Wang Jia-Hwia) ； 鄧木火(Teng Mo-Ho) ； 張遵(Chang Tsuen)

《中華放射線醫學雜誌》 12卷2期 (1987/06) Pp. 129-136

摘要

神經母細胞瘤佔小孩惡性腫瘤的第三位，僅次於白血病與中樞神經系統腫瘤。從民國69年1月至民國74年6月，榮民總醫院共有17例精神母細胞瘤，其中男童12例，女童5例。年齡分佈從9個月大至13歲，平均32.6個月。臨床表徵包括眼眶周圍瘀血，眼球突出，腹部腫塊、發燒、周邊淋巴結腫大及貧血，傳統性的放射線檢查可見顱骨縫合分離，骨頭轉移，肋膜積水，縱隔膜腫塊與腹部軟組織腫併有鈣化點。靜脈注射腎盂攝影攝顯示腎臟移位。電腦斷層攝影（CT）顯示顱內硬腦膜外轉移，顱骨縫合分離，肋膜積水，胸腔、腹腔內軟組織腫塊併鈣化及肝臟轉移；CT為病灶偵測及病變分明的最佳單一檢查工具。

並列摘要

Neuroblastoma is the third malignant tumor in children ranked below leukemia and central nervous system tumors. Seventeen patients suffered from neuroblastoma were admitted to the Veterans General Hospital from January 1980 to June 1985. There included 12 boys and 5 girls. Their age ranged from 9 months to 13 years, average 32.6 months. The clinical presentations included: periorbital ecchymosis, eyeball protrusion, abdominal mass, fever and anemia. Conventional radiographic findings included: separation of cranial sutures, bony metastasis, pleural effusion, mediastinal masses and abdominal soft tissue masses with-calcification. Intravenous pyelography demonstrated displacement of kidney, computed tomography (CT) demonstrated epidural metastasis, separation of suture) pleural effusion, soft tissue masses and liver metastases. CT scan is the best single imaging modality for lesion detection and staging.