Chuang Wen-Yu, Yeh Chi-Ju, Jung Shih-Ming, Hsueh Swei
Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
APMIS. 2007 Jul;115(7):889-90. doi: 10.1111/j.1600-0463.2007.apm_734.x.
Only three cases of clitoral schwannoma have been reported in the English language literature, with none of them being a plexiform schwannoma. Here we report the first plexiform schwannoma of the clitoris. A 41-year-old woman without neurofibromatosis presented with a 2 x 2 cm, slowly growing, painless tumor of the clitoris. Simple excision of the tumor was performed, and pathological examination revealed a plexiform schwannoma. No evidence of recurrence was noted after 2 years of follow-up. Despite its rarity, a schwannoma should be included in the differential diagnosis of a clitoral enlargement or mass. Our case, despite its unique plexiform growth pattern, has clinical features similar to those of other reported cases of clitoral schwannoma.
英文文献中仅报道过3例阴蒂神经鞘瘤，且均非丛状神经鞘瘤。在此，我们报告首例阴蒂丛状神经鞘瘤。一名41岁无神经纤维瘤病的女性，阴蒂出现一个2×2厘米、生长缓慢、无痛的肿瘤。对肿瘤进行了单纯切除，病理检查显示为丛状神经鞘瘤。随访2年未发现复发迹象。尽管罕见，但神经鞘瘤应列入阴蒂增大或肿物的鉴别诊断。我们的病例尽管生长方式独特呈丛状，但临床特征与其他报道的阴蒂神经鞘瘤病例相似。
