神经母细胞瘤是常见于儿童时期的恶性肿瘤,成年人尤其中老年人罕见,国内外鲜有报道,最近本院通过骨髓细胞学分析确诊了1例成人神经母细胞瘤,现报告如下。患者男,51岁,因腰骶部、右股部疼痛伴麻木2个月,痰中带血2 d就诊。入院时查体:体温36.8℃,脉搏80次/min,呼吸20/min,血压150/85 mm Hg(1mm Hg=0.133kPa)。胸骨体下段稍压痛,胸部影像学诊断“左肺中心型肺癌伴左肺门及纵隔淋巴结转移”。左眼睑不能完全闭合,伸舌左偏,双下肢肌力Ⅳ级。外周血象:WBC 3.7×10~9/L,中性粒细胞0.537,淋巴细胞0.367,RBC 2.6×10~(12)/L,Hb74.5 g/L,PLT 36×10~9/L。骨髓象:增生明显活跃,粒系 Neuroblastoma is a common malignant tumor in childhood, especially in the elderly, especially in the elderly rarely reported at home and abroad, the recent hospital by bone marrow cytology analysis confirmed 1 adult neuroblastoma, are as follows. Male patient, 51 years old, with lumbosacral, right thigh pain with numbness 2 months, sputum blood 2 d treatment. Physical examination on admission: body temperature 36.8 ℃, pulse 80 beats / min, respiration 20 / min, blood pressure 150/85 mm Hg (1mm Hg = 0.133kPa). A slight tenderness in the lower part of the sternum, chest imaging diagnosis “left lung central lung cancer with left hilar and mediastinal lymph node metastasis ”. Left eyelid can not be completely closed, left tongue extension, left lower limb muscle strength Ⅳ. Peripheral blood count was 3.7 × 10 ~ 9 / L for WBC, 0.537 for neutrophil, 0.367 for lymphocytes, 2.6 × 10 ~ (12) / L for RBC, 74.5 g / L for Hb and 36 × 10 ~ 9 / L for PLT. Bone marrow: hyperplasia was significantly active, grain line