【良性腹膜后神经鞘瘤1例报告及文献复习】。

Chirurgia italiana Pub Date : 2009-01-01
Alberto Mingione, Claudia Cirillo, Nicola Martucci, Stefano Mingione
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引用次数: 0

摘要

腹膜后神经鞘瘤是一种非常罕见的良性肿瘤,仅占腹膜后肿瘤的一小部分。术前诊断困难,唯一的治疗方法是完全手术切除。作者报告了一例42岁男性患者在钝性腹部创伤的诊断过程中偶然发现的腹膜后巨大肿块。由于肿块的来源不明,患者定期接受放射和超声检查。三年后,由于该肿块轻微增加和患者报告的腹部模糊不适,进行了手术切除。手术标本的组织学检查显示为“古神经鞘瘤”。手术后的20个月,患者活得很好,没有复发。作者对这一罕见的良性肿瘤作了简短的讨论,并对其诊断和治疗方法进行了探讨。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Benign retroperitoneal schwannoma: a case report and review of the literature].

Retroperitoneal schwannoma is a very rare benign tumour that accounts for only a small percentage of retroperitoneal tumours. The preoperative diagnosis is difficult and the only treatment is complete surgical excision. The authors report their experience with a case of a voluminous retroperitoneal mass in a 42-year- old male patient, incidentally discovered during a diagnostic search for a blunt abdominal trauma. Because of the unclear origin of this mass, the patient underwent periodic radiological and ultrasonographic examinations. Three years later, owing to a slight increase in this mass and vague abdominal discomfort reported by the patient, surgical excision was performed. Histological examination of the surgical specimen revealed an "ancient schwannoma". The patient is alive and well and has had no recurrence in the twenty months since surgery. The authors, after a short discussion of the subject, go on to examine the diagnostic and therapeutic treatments of this rare benign neoplasm, which always arouses lively clinical and scientific interest.

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