Sinha Rakesh, Sundaram Meenakshi, Hegde Aparna, Mahajan Chaitali
Bombay Endoscopy Academy and Center for Minimally Invasive Surgery (Beams Hospital), Mumbai, India.
J Minim Invasive Gynecol. 2008 Mar-Apr;15(2):217-9. doi: 10.1016/j.jmig.2007.09.009.
Two cases of pelvic schwannoma appeared as broad ligament myoma. Laparoscopic myomectomy was planned for both patients in view of suspected broad ligament myoma. Intraoperative findings appeared to be degenerated myomas with suggestion of malignancy. Both patients underwent complete tumor excision laparoscopically and had uneventful postoperative recovery. Histopathologic examination confirmed them to be schwannomas. Solitary nerve sheath tumors such as benign schwannomas arising in pelvic retroperitoneum are infrequently reported and difficult to diagnose preoperatively. Complete surgical excision is the treatment of choice. Benign retroperitoneal schwannomas in 2 patients primarily given the diagnosis of myoma were treated by laparoscopic excision. A MEDLINE search did not reveal reports of removing these tumors laparoscopically.
两例盆腔神经鞘瘤表现为阔韧带肌瘤。鉴于疑似阔韧带肌瘤，为两名患者计划行腹腔镜肌瘤切除术。术中发现为退变肌瘤，有恶变迹象。两名患者均在腹腔镜下完成肿瘤完整切除，术后恢复顺利。组织病理学检查证实为神经鞘瘤。盆腔腹膜后出现的孤立性神经鞘瘤如良性神经鞘瘤很少见报道，术前难以诊断。完整手术切除是首选治疗方法。两名最初诊断为肌瘤的患者的良性腹膜后神经鞘瘤通过腹腔镜切除进行治疗。医学文献数据库检索未发现腹腔镜切除这些肿瘤的报道。
