| 683 | 5 | 196 |
| 下载次数 | 被引频次 | 阅读次数 |
<正>病例资料患者,女,8岁,入院前1周因腹胀行超声检查提示右侧肾上腺与肝右后叶之间实性肿物。平素健康情况良好,无传染病、外伤及手术史,无药物及食物过敏史,无输血史。查体:腹平坦,未见异常隆起,脐偏右侧压痛,未触及明显包块,全腹无反跳痛及肌紧张,移动性浊音阴性。实验室检查:肿瘤标志物CEA、CA-125、CA19-9、AFP均无升高;碱性磷酸酶略低(136 U/L);神经元特异性烯醇化酶正常。腹部MRI平扫(图1)见肝脏与右肾间团块状异常信号灶,呈现不均匀T1WI低信号、T2WI高信号,约9 cm×5.2 cm×7.5 cm,抑脂序列呈高信号,
Abstract:[1]黄丽莹,曾裕镜,林翠君,等.节细胞神经瘤的影像诊断及病理分析.医学影像学杂志, 2020,30(4):666-670.
[2]Scherer A, Niehues T, Engelbrecht V, et al. Imaging diagnosis of retroperitoneal ganglioneuroma in childhood. Pediatr Radiol,2001,31(2):106-110.
[3]Wang XL, Yang L, Shi M, et al. Retroperitoneal ganglioneuroma combined with scoliosis:a case report and literature review.Medicine, 2018,97(37):e12328.
[4]Rha SE, Byun JY, Jung SE, et al. Neurogenic tumors in the abdomen:tumor types and imaging characteristics. Radiographics,2003,23(1):29-43.
[5]黄东,张岩,韩鸿宾.神经节细胞瘤的MRI与组织病理学对照研究.中国医学影像技术, 2003,19(11):1548-1550.
[6]Lonergan GJ, Schwab CM, Suarez ES, et al. Neuroblastoma,ganglioneuroblastoma, and ganglioneuroma:radiologic-pathologic correlation. Radiographics, 2002,22(4):911-934.
[7]Duffy S, Jhaveri M, Scudierre J, et al. MR imaging of a posterior mediastinal ganglioneuroma:fat as a useful diagnostic sign. Am J Neuroradiol, 2005,26(10):2658-2662.
[8]黄子星,宋彬.腹膜后间隙的影像解剖与临床实践.中国普外基础与临床杂志, 2021,28(12):1651-1654.
[9]Wu YH, Song B, Xu J, et al. Retroperitoneal neoplasms within the perirenal space in infants and children:differentiation of renal and non-renal origin in enhanced CT images. Eur J Radiol,2010,75(3):279-286.
[10]Nishino M, Hayakawa K, Minami M, et al. Primary retroperitoneal neoplasms:CT and MR imaging findings with anatomic and pathologic diagnostic clues. Radiographics,2003,23(1):45-57.
[11]Al-Dasuqi K, Irshaid L, Mathur M. Radiologic-pathologic correlation of primary retroperitoneal neoplasms. Radiographics, 2020,40(6):1631-1657.
[12]Sangster GP, Migliaro M, Heldmann MG, et al. The gamut of primary retroperitoneal masses:multimodality evaluation with pathologic correlation. Abdom Radiol, 2016,41(7):1411-1430.
[13]Brennan C, Kajal D, Khalili K, et al. Solid malignant retroperitoneal masses-a pictorial review. Insights Imaging, 2014,5(1):53-65.
[14]Morotti A, Busso M, Consiglio Barozzino M, et al. Detection and management of retroperitoneal cystic lesions:a case report and review of the literature. Oncol Lett, 2017,14(2):1602-1608.
[15]Zhu Z, Zhao XM, Zhao YF, et al. Evaluation of CT findings for the differentiation of benign from malignant primary retroperitoneal tumors. Chin Med J(Engl), 2014,127(1):114-119.
基本信息:
中图分类号:R735.4
引用信息:
[1]吴琼,姜慧杰,张瑾,等.原发性腹膜后肿物的影像诊断思维[J].影像诊断与介入放射学,2022,31(02):153-156.
基金信息:
上海市静安区卫生与健康委员会医学学科系列项目建设计划(2021PY01)