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成人神经母细胞瘤4例报告并文献复习

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目的 探讨成人神经母细胞瘤(adult neuroblastoma ANB)的临床病理特点、诊断及鉴别诊断.方法 回顾盛京医院诊治的4例ANB的临床、病理特征及免疫表型特点.结果 4例ANB患者发病年龄22~33岁,男女比例3∶1.临床主要表现为胸腹部包块、隐痛不适.形态学及免疫表型与小儿NB表现相同:瘤细胞圆形深染,大小较一致,可见坏死及钙化.瘤细胞表达NSE、NF、Syn.结论 ANB是一种极少见的恶性肿瘤,预后差,在临床和病理诊断时要考虑到此病的可能性.
Adult neuroblastoma:Four cases report and literature review
Objective To boost the level of recognition of the clinicopathological features,diagnosis and treatment of adult neuroblastoma( ANB). Methods Four cases of adult neuroblastomas clinical and pathological features,diagnosis and differential diagnosis were reviewed and analyzed retrospectively. Results The age of patients ranged from 22 ~33 years old. The male to female ratio was 3:1. The main clinical manifestations included an abdominal mass,dull pain. Morphology and immunophenotype of ANB were the same as that of children neuroblastoma. The tumor cell was round and bare nuclear shape. Necrosis and calcification could be found. Immunohistochemical results showed that the tumor cells expressed NSE,NF,and Syn. Conclusions ANB is a rare malignancy with bad prognosis. ANB must be considered when we face with the malignant small round cell tumor in adults.

Neuroblastoma/pathology/diagnosisDiagnosis, Differential

舒红、李洪飞、孙岩

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中国医科大学附属盛京医院病理科,辽宁沈阳110004

神经母细胞瘤/病理学/诊断 诊断,鉴别

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(1)
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