Lao Wilson T, Yang Shih-Hung, Chen Chi-Long, Chan Wing P
Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taiwan ROC.
Intern Med. 2011;50(21):2579-81. doi: 10.2169/internalmedicine.50.6198. Epub 2011 Nov 1.
Mesenteric neurilemmoma is extremely rare. We present a case of a 45-year-old man with mesenteric neurilemmoma, with CT, MRI and angiographic findings. The patient was healthy and had had no symptoms previously. CT and MRI images revealed a 2.2-cm well-defined, soft-tissue mass adjacent to the posterior border of the left lobe of the liver. The tumor mass displayed a heterogenous low signal on T2-weighted image and peripheral enhancement after gadolinium administration. Angiography showed a hypervascular mass beneath the tail of pancreas, which was supplied by small branches of middle splenic artery. Histopathology revealed a mesentery neurilemmoma composed of spindle tumor cells.
肠系膜神经鞘瘤极为罕见。我们报告一例45岁男性肠系膜神经鞘瘤病例,并展示其CT、MRI及血管造影检查结果。患者此前身体健康,无症状。CT和MRI图像显示,在肝左叶后缘旁有一个边界清晰的2.2厘米软组织肿块。该肿瘤在T2加权图像上呈不均匀低信号,注射钆剂后周边强化。血管造影显示胰腺尾部下方有一个高血运肿块,由脾中动脉小分支供血。组织病理学检查显示为一个由梭形肿瘤细胞构成的肠系膜神经鞘瘤。