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青少年早期罕见的无症状神经鞘瘤表现:三例病例并文献复习。

Rare asymptomatic presentations of schwannomas in early adolescence: three cases with review of literature.

机构信息

Department of Surgery, M.G.M Medical College & M.Y.H Group of Hospitals, Indore, Madhya Pradesh 452001, India.

出版信息

Int J Surg. 2010;8(3):203-6. doi: 10.1016/j.ijsu.2010.01.012. Epub 2010 Feb 16.

Abstract

INTRODUCTION

Schwannoma also known as Neurilemoma is a benign neoplasm of the Schwann Cells of the neural sheath. They are usually found to occur in the extremities, but can also be found in the trunk, head and neck, pelvis, and rectum. It is seldom painful and usually remains small. It has no potential for malignancy unless the patient has multi-neural tumours. It usually presents as a slowly enlarging painless nodule somewhat movable beneath the surface, rarely becomes larger than 2cm in diameter and is most frequently diagnosed in 25-55 yrs of age.

PATIENTS AND METHODS

We report three rare, asymptomatic presentations of schwannomas at adolescent age, in the back, pancreas and in the cervical region with a review of the available literature.

CONCLUSION

Despite the rarity of the presentations, as encountered by us, similar swellings in the adolescent age group can be schwannomas and can be adequately managed surgically alone. This is what should be borne in mind, for 'what the mind knows is what the eyes see'.

摘要

简介

神经鞘瘤,又称许旺细胞瘤,是神经鞘 Schwann 细胞的良性肿瘤。它们通常发生在四肢,但也可发生在躯干、头部和颈部、骨盆和直肠。它通常无疼痛且体积较小,除非患者有多发性神经肿瘤,否则没有恶变的可能。它通常表现为逐渐增大的无痛性结节,在表面下可移动,很少超过 2cm 直径,最常发生在 25-55 岁。

患者和方法

我们报告了三例罕见的、无症状的青少年背部、胰腺和颈部神经鞘瘤,同时回顾了相关文献。

结论

尽管我们遇到的这些病例较为罕见,但在青少年时期出现类似的肿块也可能是神经鞘瘤,可以通过单独手术进行充分治疗。这一点应该牢记在心,因为“所见即所知”。

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