@article{oai:hama-med.repo.nii.ac.jp:00003717,
 author = {小田, 彩子 and 小田, 智昭 and 村上, 暉 and 飯田, 瀬里香 and 井上, 結貴 and 戎野, 志織 and 中野, 史織 and 佐藤, あずさ and 榛葉, 賴子 and 東堂, 祐介 and 松木, 翔太郎 and 矢田, 大輔},
 issue = {1},
 journal = {静岡産科婦人科学会雑誌},
 month = {Apr},
 note = {少児の腹部腫瘤は、子宮・付属器腫瘍だけでなく副腎、腎、交感神経由来の後腹膜腫瘍も頻度が高い。診断的腹腔鏡手術が卵巣腫瘍との鑑別に有用であった後腹膜原発Ganglioneuromaの小児例を経験した。症例は8歳女児、腹痛を主訴に近医を受診し、腹部腫瘤を指摘され、当院小児科に紹介された。腹部超音波断層法、Magnetic resonance imaging (MRI)で6cm大の充実性卵巣腫瘍が疑われたため、精査目的で当科を受診した。画像所見から鑑別診断として、卵巣腫瘍、後腹膜腫瘍などを考えたが、術前には腫瘍の局在や想定される病理像を明確に判断できなかった。腹痛が持続するため精査のため診断的腹腔鏡手術を行った。子宮と両側付属器は正常であり、腫瘍は後腹膜腔に存在した。高次医療施設小児外科での手術が望ましいと考え、術後1日目に転院し、腫瘍摘出術を行った。摘出した腫瘍の病理検査でGanglioneuromaと診断した。小児の腹部腫瘤は、超音波断層法やMRIなどの画像診断はその局在や評価が難しいことも多いため、鑑別に診断的腹腔鏡手術による観察が有用である。, Abdominal tumors in childhood are often found not only in the uterus and adnexa, but also in retroperitoneal organs, such as the adrenal gland, kidneys, and sympathetic nerves. We report a pediatric case of retroperitoneal ganglioneuroma that was successfully differentiated from an ovarian tumor using exploratory laparoscopy. The present case was an 8-year-old girl who was referred to our Department of Pediatrics with abdominal pain and an abdominal mass further evaluation because image screening by abdominal ultrasound and magnetic resonance imaging (MRI) revealed a 6-cm solid ovarian tumor. Based on these findings, we considered ovarian and retroperitoneal tumors as the differential diagnosis; however, the localization and assumed pathology of the tumor were not clear preoperatively. Due to persistent abdominal pain, examination of the intraperitoneal cavity was performed by exploratory laparoscopy. The uterus and bilateral adnexa were normal, and the tumor was located in the retroperitoneal cavity immediately through the peritoneum. The patient was transferred to the Department of Pediatric Surgery at the advanced pediatric medical center for surgery on the first postoperative day. The pathology of the resected tumor was ganglioneuroma. Since imaging modalities such as ultrasound and MRI are not always useful for localization and evaluations, the direct observation of abdominal masses by diagnostic laparoscopy in pediatric cases is necessary for accurate differentiation.},
 pages = {15--21},
 title = {診断的腹腔鏡手術により卵巣腫瘍と鑑別可能であった小児の後腹膜原発Ganglioneuromaの1例},
 volume = {10},
 year = {2021}
}