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頁籤選單縮合
題 名 | Cystic Neuroblastoma with Hepatic Metastasis: Report of One Case=囊狀神經母細胞瘤併肝臟轉移:一病例報告 |
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作 者 | 周弘傑; 林凱信; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 40:4 民88.07-08 |
頁 次 | 頁277-279+294 |
分類號 | 417.58 |
關鍵詞 | 囊狀神經母細胞瘤; 香草基杏仁酸; 肝臟轉移; Cystic neuroblastoma; Vanillylmandelic acid; Hepatic metastasis; |
語 文 | 英文(English) |
中文摘要 | 神經母細胞瘤是嬰兒期中最常見之惡性腫瘤,然而囊狀性腫瘤卻是神經母細胞瘤 中少見之表現方式。文獻中僅31例被報導過。在此報導另一個案。四個月大的女嬰因巨大 腹部腫瘤而入院,其後組織切片證實是神經母細胞瘤。她尿中香草基杏仁酸升高,影像學檢 查包括腹部超音波、電腦斷層、核磁共振都顯示出有鈣化及中隔之巨大腫瘤在腹腔中,並旦 有多個轉移至肝臟也含中隔之小結節。主腫瘤及轉移之小結節在影像上都顯示出含有3層之 液狀—液狀界面之特性。文獻回顧並無像此案例如此3層狀之影像特性。也許正代表著此腫 瘤易出血之證明。 |
英文摘要 | Neuroblastoma is the most common infant malignancy, but cystic neuroblastoma is a rare presentation of this disease. There were only thirty-one reported cases in literature. Here we report another case. A 4-month-old female baby presented with a huge abdominal mass which was histologically proved to be a cystic neuroblastoma. Her urinary vanillylmandelic acid (VMA) was elevated. The image studies, including abdominal sonography, computed tomography, and magnetic resonance image, revealed a huge main mass with calcification and septa in the abdominal cavity, and multiple metastatic nodules with septation in the liver. A three-layer fluid-fluid level was found in the main mass and also in the metastatic nodules. No previous report showed a three-layer fluid-fluid level in the cystic component of neuroblastoma like the case presented here. It may be evidence of easy hemorrhagic character of this tumor. |
本系統中英文摘要資訊取自各篇刊載內容。