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[一例神经鞘瘤病——临床、病理及生化研究]

[A case of schwannomatosis--clinical, pathological and biochemical studies].

作者信息

Matsuo A, Tooyama I, Akiguchi I, Kimura J, Kameyama M

机构信息

Department of Neurology, Faculty of Medicine, Kyoto University.

出版信息

Rinsho Shinkeigaku. 1991 Jul;31(7):742-5.

PMID:1723937
Abstract

A case of schwannomatosis is described, including clinical, pathological and biochemical features. A 16-year-old male patient was admitted because of multiple subcutaneous tumors without family history. No café au lait spots were found. Magnetic resonance images (MRI) revealed multiple tumors of cranial and spinal nerves. The tumors in the scalp, right forearm and left spinal nerve at the level of C5 were excised out surgically. The pathological study of all tumor specimens showed a typical appearance of schwannoma with Antoni A and B tissues but not that of neurofibroma. Electrophoretic study of the extract from the tumor detected a basic protein at a molecular weight of 18.5 KD, which has been reported to be a tumor marker protein of benign schwannoma. From these findings, this patient had the features of schwannomatosis, clearly distinguished from those of neurofibromatosis.

摘要

本文描述了一例神经鞘瘤病病例,包括临床、病理和生化特征。一名16岁男性患者因多发性皮下肿瘤入院,无家族病史。未发现咖啡斑。磁共振成像(MRI)显示颅神经和脊神经有多发性肿瘤。手术切除了头皮、右前臂和C5水平左侧脊神经的肿瘤。所有肿瘤标本的病理研究显示为典型的神经鞘瘤外观,有Antoni A和B组织,但不是神经纤维瘤。对肿瘤提取物的电泳研究检测到一种分子量为18.5 KD的碱性蛋白,据报道该蛋白是良性神经鞘瘤的肿瘤标志物蛋白。根据这些发现,该患者具有神经鞘瘤病的特征,与神经纤维瘤病明显不同。

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