背景:腹膜后支气管囊肿(RBC)是一种极其罕见的发育异常。大多数是良性肿瘤,但恶性转化是可能的。由于它们的解剖位置,在放射学评估中,红细胞很容易被误诊为肾上腺或胰腺实体瘤。这里,我们报告一例红细胞,回顾文献,并总结一些重要特征。
方法:一名49岁女性在体格检查中偶然发现患有腹膜后肿瘤。增强计算机断层扫描和实验室评估,包括血常规检查,血液生物化学,24小时尿17酮,17羟基,肾上腺皮质激素,血清钾浓度,血清淀粉酶,脂肪酶,和上皮肿瘤标志物,显示出中等密度,54mm×40mm肿块,左肾上腺附近边界清晰。血液和尿液值没有异常。因为患者有高血压病史,肿块的位置靠近肾上腺,它最初被诊断为左肾上腺肿瘤,并通过后腹腔镜手术切除。然而,手术后病理检查证实为支气管囊肿。
结论:有症状的RBC患者可以优先考虑腹膜后腹腔镜手术。对选定的患者进行保守治疗是可行的。
BACKGROUND: Retroperitoneal bronchogenic cyst (RBC) is an extremely rare developmental abnormality. Most are benign tumors but malignant transformation is possible. Because of their anatomical position, RBCs are easily misdiagnosed as adrenal or pancreatic solid tumors on radiological evaluation. Here, we report a case of RBC,
review the literature, and summarize some important features.
METHODS: A 49-year-old woman was incidentally found to have a retroperitoneal tumor during a physical examination. Enhanced computed tomography and laboratory evaluations, including routine blood examination, blood biochemistry, 24-h urine 17 ketones, 17 hydroxyls, adrenocortical hormone, serum potassium concentration, serum amylase, lipase, and epithelial tumor markers, revealed a moderate density, 54 mm × 40 mm mass with a clear boundary near the left adrenal gland. The were no abnormalities in the blood and urine values. Because the patient had a history of hypertension and the location of the mass was adjacent to the adrenal gland, it was initially diagnosed as a left adrenal tumor and was resected by retroperitoneal laparoscopy. However, the pathological examination after surgery confirmed it to be a bronchogenic cyst.
CONCLUSIONS: Retroperitoneal laparoscopic surgery can be prioritized for symptomatic RBC patients. Conservative treatment is feasible for selected patients.