Ganglioneuroblastoma is an uncommon malignant tumour, and it is extremely rare in adults. A 27-year-old woman was admitted to hospital complaining of commitment left loin pain for 7 months accompanied with fever for 1 day. Computed tomography (CT) scan shows a huge cystic solid mass among the rear of the pancreatic body and tail, inside of the spleen, and the top of the left kidney. Hormone examinations showed that the serum levels of glucocorticoid, aldosterone, norepinephrine, and epinephrine were normal. However, neuron-specific enolase (NSE) was significantly higher (289.46 ng/mL, normal level <16.3 ng/mL). Adrenal mass resection was scheduled. However, intraoperative separation was very difficult and adrenal tumour resection, resection of the pancreatic body and tail, left nephrectomy, and splenectomy were carried out. Pathological diagnosis was ganglioneuroblastoma.
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机译：神经节神经母细胞瘤是一种罕见的恶性肿瘤，在成年人中极为罕见。一名27岁妇女因涉嫌左腰痛7个月伴发烧1天而入院。计算机断层扫描（CT）扫描显示，在胰体和尾巴的后部，脾脏的内部以及左肾的顶部之间有巨大的囊性固体肿块。激素检查显示，血清糖皮质激素，醛固酮，去甲肾上腺素和肾上腺素水平正常。但是，神经元特异性烯醇化酶（NSE）明显更高（289.46 ng / mL，正常水平<16.3 ng / mL）。计划进行肾上腺肿块切除术。但是，术中分离非常困难，并且进行了肾上腺肿瘤切除，胰体和尾巴切除，左肾切除术和脾切除术。病理诊断为神经节神经母细胞瘤。
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