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胰腺神经鞘瘤:一例报告

Pancreatic Schwannoma: report of a case.

作者信息

Morita S, Okuda J, Sumiyoshi K, Taketani M, Moriguchi A, Katsu K, Tanigawa N

机构信息

Department of Gastroenterological Surgery, Osaka Medical College, 2-7 Daigakucho, Takatsukishi, Osaka 569-8686, Japan.

出版信息

Surg Today. 1999;29(10):1093-7. doi: 10.1007/s005950050651.

Abstract

We present herein a case of solitary schwannoma of the pancreas and also review 26 previously reported cases from the English and Japanese literature. Primary schwannoma of the pancreas is a rare tumor. A 50-year-old female was discovered to have a large mass in the upper abdomen on ultrasonography. An examination by computed tomography (CT) scan, magnetic resonance imaging (MRI), and ultrasonography revealed a solid and cystic tumor in the left upper quadrant of the abdomen. A distal pancreatectomy with a splenectomy was performed to remove this tumor. A microscopic examination identified the tumor to be situated in the pancreas while it was composed of cells that originated from Schwann cells. Only 26 cases of pancreatic schwannoma have previously been reported in the English and Japanese literature. We describe in detail the characteristic findings based on image analyses, including CT scan, MRI, ultrasonography, and angiography, in these 26 cases.

摘要

我们在此报告一例胰腺孤立性神经鞘瘤,并回顾英文和日文文献中先前报道的26例病例。胰腺原发性神经鞘瘤是一种罕见肿瘤。一名50岁女性经超声检查发现上腹部有一巨大肿块。计算机断层扫描(CT)、磁共振成像(MRI)及超声检查显示腹部左上象限有一实性和囊性肿瘤。行远端胰腺切除术加脾切除术以切除该肿瘤。显微镜检查确定肿瘤位于胰腺,由源自施万细胞的细胞组成。英文和日文文献中先前仅报道过26例胰腺神经鞘瘤病例。我们详细描述了这26例病例基于图像分析(包括CT扫描、MRI、超声及血管造影)的特征性表现。

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