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消化道神经鞘瘤。

Digestive tract schwannoma.

作者信息

Khan A A, Schizas A M P, Cresswell A B, Khan M K, Khawaja H T

机构信息

Department of General Surgery, Queen Mary's Hospital Sidcup, Sidcup, UK.

出版信息

Dig Surg. 2006;23(4):265-9. doi: 10.1159/000096159. Epub 2006 Oct 10.

Abstract

BACKGROUND

Digestive tract schwannomas (DTS) are rare benign mesenchymal tumours usually affecting females between 30 and 60 years old.

METHODS

We retrospectively reviewed 2 cases of DTS treated at our hospital. The first case is a 38-year-old female with gastric schwannoma presenting with acute upper gastro-intestinal bleeding. The second case is a 36-year-old female with mesenteric schwannoma presenting with chronic right iliac fossa pain. Both patients underwent surgical resection of the tumour.

RESULTS

Histology and immunohistochemistry revealed the typical appearance of a DTS.

CONCLUSION

DTS is most commonly found in the stomach. It is usually asymptomatic but can present with variable symptoms. Definitive diagnosis can only be made on the basis of immunohistochemistry. Surgical resection is the treatment of choice.

摘要

背景

消化道施万细胞瘤(DTS)是罕见的良性间叶组织肿瘤,通常影响30至60岁的女性。

方法

我们回顾性分析了我院治疗的2例DTS病例。第一例是一名38岁女性,患有胃施万细胞瘤,表现为急性上消化道出血。第二例是一名36岁女性,患有肠系膜施万细胞瘤,表现为慢性右下腹疼痛。两名患者均接受了肿瘤手术切除。

结果

组织学和免疫组织化学检查显示为典型的DTS表现。

结论

DTS最常见于胃部。它通常无症状,但可出现多种症状。明确诊断只能基于免疫组织化学。手术切除是首选治疗方法。

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