儿童肾上腺神经母细胞瘤的CT诊断

目的:探讨儿童肾上腺神经母细胞瘤的CT诊断价值。方法:回顾性分析经手术病理证实的30例儿童肾上腺神经母细胞瘤。结果:儿童肾上腺神经母细胞瘤的CT主要表现有大的不规则肿块25例,密度较均匀18例,钙化12例,囊变或坏死8例,出血4例,越过中线22例,包绕腹膜后大血管20例,腹膜后淋巴结肿大18例,2例肝转移,8例腹腔积液,2例盆腔转移。肿块不均匀强化,肾脏向后外侧移位24例,肾脏轮廓完整。结论:根据典型CT表现,并结合临床特点,可高度提示儿童肾上腺神经母细胞瘤的诊断。

CT Diagnosis of Adrenal Neuroblastoma in Children

Objective To evaluate the value of CT diagnosis of adrenal neuroblastoma in children. Methods CT manifestations of 30 surgically and pathologically proved cases of adrenal neuroblastoma in children were retrospectively reviewed. Results The main CT features of adrenal neuroblastoma in children included:huge and irregular mass(25 cases),the density is more even(18 cases),calcification(12 cases),cystic degeneration or necrosis(8 cases),bleeding(4 cases),crossing of the midline(22 cases),wrapping retroperitoneal major vessels(20 cases),retro-peritoneal lymphadenopathy(18 cases),liver metastasis(2 cases),seroperitoneum(8 cases),2 pelvic metastasis(2 cases).The mass was heterogeneous enhancement. The kidney moved backward and lateral(24 cases),and the outline of kidney is complete. Conclusion According to typical CT features,combined with clinical characteristics,main differential diagnosis can be highly made the diagnosis of adrenal neuroblastoma in children.