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相關文獻
- Adrenal Ganglioneuroma: An Incidentaloma Mimics Pheochromocytoma
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- 嗜鉻細胞瘤之影像學診斷
- 腎上腺偶見瘤
- Adrenal Ganglioneuroma: Report of Five Cases
- 腎上腺嗜鉻細胞瘤合併兩側高血壓視神經病變--病例報告
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題名 | Adrenal Ganglioneuroma: An Incidentaloma Mimics Pheochromocytoma=腎上腺神經節神經瘤--一模仿嗜鉻細胞瘤之意外瘤 |
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作者 | 黃傳芥; 李思遠; 黃建鐘; 宋俊明; 張孔昭; 劉信良; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷期 | 14:3 2000.09[民89.09] |
頁次 | 頁117-120+136 |
分類號 | 415.934 |
關鍵詞 | 腎上腺; 神經節神經瘤; 腎膿瘍; 嗜鉻細胞瘤; 碘131 MIBG閃爍掃描; Renal abscess; Ganglioneuroma; Pheochromocytoma; |
語文 | 英文(English) |
中文摘要 | 神經節神紃瘤(Ganglioneuroma)是一種罕見的良性腫瘤,它和嗜鉻細胞瘤(pheochromocytoma)一樣,都是由神經脊細胞分化而來。因為它的生長速度緩慢,所以不太容易引起症狀;大部分情況下是因為其他不相關原因做腹部影像學檢查而被意外發現的。它可以發生在任何有自主神經系統分佈的地方。如果發生在腎上腺,而擊者又併發高血壓時,它並不容易由影像學和生化的檢查和嗜鉻細胞瘤加以區別。我們提出腎膿瘍併腎上腺神經詳神經瘤的一罕見病例報告,並作文獻的回顧,比較它與咾鉻細胞瘤的區別方法。我們認為在懷疑為嗜鉻細胞瘤的腎上腺腫瘤應該要安排碘(I)-131 MIBG的核醫閃爍掃瞄檢查,因為它不但可以找出腎上腺外的嗜鉻細胞瘤,且可以幫忙排除神經詳神經瘤之可能性。 |
英文摘要 | Ganglioneuroma (GN) is a rare, benign tumor. It arises from neural crest cells, similar to pheochromocytoma, and grows slowly. The patients with GN are usually asymptomatic, which makes it usually noted incidentally. When it appears in adrenal gland, it may be mistaken to be pheochromocytoma due to their similar character in many fields. Herein, we report a rare case of renal abscess with adrenal GN, which was found incidentally and correctly diagnosed preoperatively. We emphasize that GN should be included in the differential diagnosis of hypertension and pheochromocytoma. We also compare the characteristics of GN pheochromocytoma from the literature. In addition, I131-me-thiodobenzylguanidine (131I-MIBG) scintigraphy is necessary for differential diagnosis of adrenal masses before surgery because it can detect extra-adrenal pheochromocytoma, and also can help to exclude GN n most conditions. |
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