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The application of CT in the diagnosis of retroperitoneal paraganglioma in children |
LIU Dan, LIANG Xing-chi, QU Yuan, JIA Hui-min, ZHOU Xin, ZHANG Ke-ren, BAI Yu-zuo, WANG Wei-lin |
Department of Pediatric Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, China |
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Abstract Objective: To analyze the CT imaging characteristics of children with retroperitoneal paraganglioma, combined with its pathological features, and to improve the level of diagnosis and treatment of the disease. Methods: The CT data of 4 cases(male 2, female 2) of retroperitoneal paraganglioma confirmed by pathology were analyzed retrospectively, including 1 case for CT scan+3D, the other 3 cases for scan+enhancement. Results: CT scan showed that the retroperitoneal lesions were the soft tissue density, the CT values of the tumors were 26~40 HU, the density was uneven, and the tumor diameters were 4~9.5 cm. Enhanced CT demonstrated that tumors were heterogeneous enhanced, the internal liquid necrotic areas showed no enhancement, multiple blood vessels were in and around tumors. Three dimensional reconstruction of 1 case exhibited that the boundary between cystic mass and adjacent vascular structure was not clear. Conclusion: Retroperitoneal paraganglioma is a rare tumor in children. CT scan can clearly show the size, boundary, density, blood flow, and the substance composition of retroperitoneal paraganglioma, and combined with the clinical manifestations and pathological examination can make more accurate diagnosis and treatment of the disease.
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Received: 20 February 2016
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[1]许华新,任晓苏,成功. CT诊断腹膜后无功能性副神经节瘤1例[J]. 中国医学影像学杂志,2008,16(1):71-72.
[2]李康,马千红,吕富荣,等. 螺旋CT在原发性腹膜后肿瘤诊断中的价值[J]. 中国临床医学影像杂志,2009,20(6):466-468.
[3]Goenka AH, Shah SN, Remer EM. Imaging of the Retroperitoneum[J]. Radiol Clin North Am, 2012, 50(2): 333-355.
[4]Cahir JG, Freeman AH, Courtney HM. Multislice CT of the abdomen[J]. Br J Radiol, 2004, 77(Spec No 1): S64-73.
[5]Ahmad S, Cathy D, Sheikh M, et al. Retroperitoneal extra-adrenal paraganglioma: a rare but important diagnosis[J]. Ir J Med Sci, 2009, 178(2): 211-214.
[6]苗焕民,胡春洪,胡粟. 原发性腹膜后副神经节瘤的CT诊断[J]. 中国血液流变学杂志,2012,22(2):336-338.
[7]Linnoila RI, Keiser HR, Steinberg SM, et al. Histopathology of benign versus malignant sympathoadrenal paragangliomas: clinicopathologic study of 120 cases including unusual histologic features[J]. Hum Pathol, 1990, 21(11): 1168-1180.
[8]Xu Y, Wang J, Peng Y, et al. CT characteristics of primary retroperitoneal neoplasms in children[J]. Eur J Radiol, 2010, 75(3): 321-328.
[9]沈华,吴宏飞,周鹤同,等. 原发性腹膜后副神经节瘤14例报告并文献复习[J]. 临床泌尿外科杂志,2011,26(10):777-779.
[10]石士奎. 原发性腹膜后副神经节瘤的CT诊断与鉴别诊断[J]. 国际医学放射学杂志,2010,34(3):249-252.
[11]胡建红,韩树高. CT、MR对腹膜后原发肿瘤诊断临床价值分析[J]. 医学影像学杂志,2013,23(8):1254-1257.
[12]张军,张岳,吴政光,等. 腹部肾上腺外、脊柱副节瘤CT、MRI表现与病理对照分析[J]. 中国CT和MRI杂志,2015,13(6):47-50.
[13]冀强,蒋力生,陈鹏. 腹膜后副神经节瘤的组织学和临床研究(附10例报告)[J]. 四川解剖学杂志,2004,12(4):272-273.
[14]马永华,许守利,孙建刚,等. 腹膜后肾上腺外副神经节瘤的CT、MRI表现[J]. 中国中西医结合影像学杂志,2011,9(2):126-128.
[15]倪明,汪世存,潘博,等. 腹膜后副神经节瘤18F-FDG PET/CT显像1例[J]. 国际放射医学核医学杂志,2013,37(4):253-254.
[16]文阳,王华,王伯胤. 肾上腺外副神经节瘤的临床特点与CT诊断价值[J]. 中国临床医学影像杂志,2009,20(4):286-289. |
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