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小儿腹部节细胞神经瘤的诊断和治疗 被引量:9

The diagnosis and treatment of abdominal ganglioneuroma in children.
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摘要 目的提高小儿腹腔节细胞神经瘤的诊治水平。方法回顾分析3例腹腔节细胞神经瘤的临床资料,结合文献对其发病情况、生物学特性、临床、病理诊断及手术原则进行讨论。结果术前经B超、CT检查,2例分别诊断神经母细胞瘤和腹膜后肿瘤;1例考虑节细胞神经瘤。3例均手术切除肿瘤,2例为腹膜后节细胞神经瘤,1例为肾上腺节细胞神经瘤。术后恢复顺利。随访6个月~8年,患儿健康,无肿瘤复发。结论小儿腹部节细胞神经瘤临床少见,平均发病年龄6岁左右,除腹部包块外,一般情况良好。B超、CT可了解肿瘤的部位及其与周围组织、脏器的关系,对于诊断和指导手术有帮助。确诊有赖病理。完全切除肿瘤,预后良好。 Objective To promote the accuracy of the diagnosis and treatment of abdominal ganglioneuroma(AG) in children. Methods The clinical data of three patients were reviewed and analyzed their characteristics of incidence, biology, pathology,diagnosis and surgery in combined with literatures. Results Two cases were dignosed as neuroblastoma and retroperitoneal tumors,one was AG by means of B-ultrasond and CT scan before operation. All patients underwent a surgical operation and recovered. Pathology examination coufirmed the diagnosis of ganglioneuroma.They were followed up for 6 months to 8 years.No relapse was noticed. Conclusion AG is a benign tumor with low incidence.The onset average age is 6 years in children .General condition usually is better besides abdominal mass. B-US and CT play an important role in the diagnosis of this disease. The final diagnosis depends on pathology.The prognosis will be favorable in case of complete resection of tumor.
作者 徐兵 苏义林
出处 《现代肿瘤医学》 CAS 2005年第3期353-354,共2页 Journal of Modern Oncology
关键词 节细胞神经瘤 神经母细胞瘤 儿童 腹部 ganglioneuroma neuroblastoma children abdomen
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