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咽後部原發神經母細胞瘤-病例報告

Primary Retropharyngeal Neuroblastoma - Case Report

摘要


神經母細胞瘤(neuroblastoma)是常見於新生兒的惡性腫瘤,好發於腹部,偶見於胸部,發生於頸部者並不常見,而以咽後部腫塊和上呼吸道阻塞為臨床表徵更為罕見。本院於民國82年6月經驗一例,病人為一足月男性新生兒,自出生後即有呼吸困難的現象,核磁共振造影顯示咽後部有一3×2 cm膨出之腫塊,經手術切除後,病理報告為神經母細胞瘤,病人術後呼吸道阻塞的現象立即解除,追蹤至今,並無復發現象。

並列摘要


Neuroblastoma is a relatively common malignancy of childhood. It may occur in any tissue of neural crest origin, commonly in the sympathetic chain of abdomen, thorax or in adrenal gland, but very few are of cervical origin. Upper airway obstruction and feeding difficulty are the major clinical manifestations in such cervical cases. We presented a case of primary retropharyngeal neuroblastoma. Noisy breathing, dyspnea and choking on feeding were noted soon after birth. Localized in a favorable primary site, such a congenital neurobalstoma of early stage can be successfully treated by surgical excision alone despite of the chemotherapy of radiotherapy.

並列關鍵字

neuroblastoma retropharyngeal

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