Takemoto Jun, Yamato Takashi, Suzuki Ken-ichi, Takeuchi Mutsuo
Department of Urology, Iwaki Kyoritsu General Hospital.
Hinyokika Kiyo. 2004 Feb;50(2):119-21.
We report a case of schwannoma in psoas muscle, difficult to make a preoperative differential diagnosis from multilocular renal cyst in a 44-year-old woman. She complained of epigastric discomfort, and abdominal computerized tomography revealed a left multi-cystic renal tumor. Drip infusion pyelography showed the tumor displacing the left kidney superiorly, and pushing the left ureter medially. Magnetic resonance imaging demonstrated that the tumor structure was multilocular. At the operation, the tumor was observed in psoas muscle and was revealed as schwannoma in microscopic findings.
我们报告一例44岁女性腰大肌神经鞘瘤病例,术前难以与多房性肾囊肿进行鉴别诊断。患者主诉上腹部不适,腹部计算机断层扫描显示左肾多囊性肿瘤。静脉肾盂造影显示肿瘤将左肾向上推移,并将左输尿管向内推挤。磁共振成像显示肿瘤结构为多房性。手术中,在腰大肌中观察到该肿瘤,显微镜检查结果显示为神经鞘瘤。