Nakanishi R, Shirakusa T, Miyazaki K, Hirota N
Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Nov;39(11):2041-5.
Primary tumor of the diaphragm is very rare. Furthermore, to our knowledge, no cases of multiple neurilemmoma of the diaphragm have appeared in the literature. A 61-year-old female was admitted to our hospital because of epigastric discomfort. Roentgenologic examination of the chest showed a tumor in the left leaf of the diaphragm. Laparotomy revealed two tumors, one measuring about 5 cm in diameter, and the other about 1 cm in diameter arising from the diaphragm. There was no adhesion to adjacent organs. The two tumors were resected with a part of the left diaphragm. Histological examination revealed benign neurilemmoma of the diaphragm. There has been follow-up on the patient for two and a half years without evidence of recurrence.
原发性膈肌肿瘤非常罕见。此外,据我们所知,文献中尚未出现过膈肌多发性神经鞘瘤的病例。一名61岁女性因上腹部不适入住我院。胸部X线检查显示膈肌左叶有一个肿瘤。剖腹手术发现两个肿瘤,一个直径约5厘米,另一个直径约1厘米,起源于膈肌。与相邻器官无粘连。将两个肿瘤连同左膈肌的一部分一并切除。组织学检查显示为膈肌良性神经鞘瘤。对该患者进行了两年半的随访,无复发迹象。