UNASSIGNED: Here, we present the case of a 3-year-old girl who was admitted without clinical signs but presented with a palpable abdominal mass. Ultrasonography and computed tomography scans revealed a sizable cystic lesion within the retroperitoneal space. Subsequently, laparoscopic resection was performed. Histological examination unveiled neuroglial cell-lined cysts encompassing fibrous connective tissue, ganglia, glial tissue, and nerve bundles. Notably, distinct areas and cell types exhibited expression of S100, glial fibrillary acidic protein, and neuron-specific enolase. Follow-up assessments revealed no relapses or late complications.
UNASSIGNED: In cases of retroperitoneal neuroglial heterotopia, most children may remain asymptomatic without any congenital anomalies. Despite their detectability through imaging, accurate preoperative diagnosis is seldom achieved. Generally, a favorable prognosis follows complete surgical resection, although further cases are required to confirm its long-term efficacy, necessitating extended follow-up for verification.
■这里,我们介绍了一例3岁女孩的病例,她入院时没有临床症状,但表现为可触及的腹部肿块.超声检查和计算机断层扫描显示腹膜后间隙内有相当大的囊性病变。随后,进行腹腔镜切除。组织学检查揭示了神经胶质细胞衬里的囊肿,包括纤维结缔组织,神经节,胶质组织,和神经束。值得注意的是,不同区域和细胞类型表现出S100,胶质纤维酸性蛋白的表达,和神经元特异性烯醇化酶。随访评估显示无复发或晚期并发症。
■在腹膜后神经胶质异位症的病例中,大多数儿童可能保持无症状,没有任何先天性异常。尽管它们可以通过成像检测,准确的术前诊断很少实现。一般来说,完全手术切除后预后良好,尽管需要更多的病例来确认其长期疗效,需要延长核查的后续行动。