酷似子宫肌瘤的腹膜后神经鞘瘤。
Retroperitoneal schwannoma mimicking uterine myoma.
作者信息
Chen Ching-Hui, Jeng Cherng-Jye, Liu Wei-Min, Shen Jenta
机构信息
Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2009 Jun;48(2):176-7. doi: 10.1016/S1028-4559(09)60282-5.
OBJECTIVE
Schwannomas rarely present as pelvic masses. Most of them have been previously examined in the pelvis, vagina, retroperitoneum, and mediastinum. We report a 44-year-old woman with a pelvic mass initially diagnosed as a uterine fibroid but subsequently proven to be a retroperitoneal cellular schwannoma.
CASE REPORT
Histologic examination revealed the mass to be an Antoni A-dominated tumor that was S-100-positive, CD117-negative, and smooth muscle actin-negative. The patient underwent a total hysterectomy and removal of the tumor, and had no evidence of recurrence at 2 years' follow-up.
CONCLUSION
In this case, the treatment of choice was complete excision of the tumor, which was considered to be curative.
目的
神经鞘瘤很少表现为盆腔肿块。它们大多先前已在盆腔、阴道、腹膜后和纵隔进行过检查。我们报告一名44岁女性，其盆腔肿块最初被诊断为子宫肌瘤，但随后被证实为腹膜后细胞性神经鞘瘤。
病例报告
组织学检查显示该肿块为以Antoni A为主的肿瘤，S-100阳性，CD117阴性，平滑肌肌动蛋白阴性。患者接受了全子宫切除术及肿瘤切除，随访2年无复发迹象。
结论
在本病例中，首选的治疗方法是完整切除肿瘤，这被认为是治愈性的。
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