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儿科上腺偶发瘤的临床特征和治疗选择:一个回顾性单中心研究
Xiaojiang Zhu1, Saisai Liu1, Yimin Yuan1
1Department of Urology, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, 210008, Jiangsu, China.
BMC pediatrics
|March 16, 2024
概括
儿科上腺意外瘤 (AIs) 在新生儿中显示出高自发回归. 在老年儿童中,神经母细胞瘤是最常见的非新生儿AI,需要积极的评估和治疗.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 儿科瘤学 儿科瘤学
- 放射学 放射学是一门学科.
背景情况:
- 儿科上腺瘤 (AIs) 是一种罕见的瘤,是偶然发现的.
- 了解它们的临床特征和治疗对于有效管理至关重要.
研究的目的:
- 调查儿科上腺意外瘤的临床特征和治疗选择.
- 为了指导这些儿科瘤的诊断和治疗.
主要方法:
- 儿科AI患者的临床数据的回顾性分析 (2016年12月 - 2022年12月).
- 根据初次咨询时的年龄,患者被分为新生儿和非新生儿组.
主要成果:
- 在新生儿中,8/13个AI自发消失,5/13个AI大小缩小. 四名新生儿接受了手术,其中3人被诊断为神经母细胞瘤,1人患有瘤.
- 在非新生儿中,发现了18种良性瘤 (例如,状瘤,上腺皮层腺瘤) 和20种恶性瘤 (例如,神经母细胞瘤,状细胞瘤).
结论:
- 神经母细胞瘤是主要的非新生儿儿科AI,需要彻底调查和治疗.
- 新生儿AI表现出高自发回归率,允许密切观察如果小,局部,没有转移.
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