Ben Moualli S, Hajri M, Ben Amna M, Kolsi K, Chebil M, Ben Jilani S, Zaouech A, Ayed M
Service d'urologie, hôpital Charles Nicolle, Tunis, Tunisie.
Ann Urol (Paris). 2001 Sep;35(5):270-2. doi: 10.1016/s0003-4401(01)00042-0.
Retroperitoneal schwannoma is a rare tumor originating in the neural sheath. We report the case of a 48 year-old women. She had a ten year history of lumbal pain. The abdominal sonography had revealed a left retroperitoneal tumor that compresses the left renal cavities. The abdominal CT scan visualized a 56 mm, homogenous, well demarcated, retroperitoneal mass with a low attenuation. This mass with multiple enhanced septa is separated from the left adrenal gland. The diagnosis of a cystic lymphangioma is made. We perform surgical exeresis of the tumor by a left lumbal laparotomy. The pathology examination concludes in an altered schwannoma with Antoni B patterns. Retroperitoneal schwannoma is a primary neural benign tumor with a good prognosis. The management is surgical.
腹膜后神经鞘瘤是一种起源于神经鞘的罕见肿瘤。我们报告一例48岁女性病例。她有10年的腰痛病史。腹部超声检查发现左腹膜后肿瘤压迫左肾腔。腹部CT扫描显示一个56毫米、均匀、边界清晰、低密度的腹膜后肿块。这个有多个强化间隔的肿块与左肾上腺分开。诊断为囊性淋巴管瘤。我们通过左腰部剖腹术对肿瘤进行手术切除。病理检查结果为伴有Antoni B型结构改变的神经鞘瘤。腹膜后神经鞘瘤是一种原发性神经良性肿瘤,预后良好。治疗方法为手术治疗。