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孤立性丛状神经纤维瘤,脂肪瘤诊断中的一个陷阱。

Solitary plexiform neurofibroma, a pitfall in diagnosis of lipoma.

作者信息

Chieng G H, Bhatnagar A, Mirza M

机构信息

Department of General Surgery, Sandwell & West Birmingham Hospitals, Birmingham, UK.

出版信息

BMJ Case Rep. 2010 Sep 20;2010:bcr0120102696. doi: 10.1136/bcr.01.2010.2696.

Abstract

Plexiform neurofibromatosis is almost invariably associated with neurofibromatosis type I. A case of an isolated back plexiform neurofibroma, initially thought to be a lipoma, is presented, with emphasis on the importance of eliciting family history in reaching a diagnosis of neurofibromatosis. Currently, surgical resection is still the treatment of choice though a management plan is not well defined. Patients need appropriate regular follow-up to detect malignancy or early recurrence.

摘要

丛状神经纤维瘤几乎总是与Ⅰ型神经纤维瘤病相关。本文报告了一例孤立性背部丛状神经纤维瘤病例,该病例最初被误诊为脂肪瘤,强调了在诊断神经纤维瘤病时询问家族史的重要性。目前,手术切除仍是首选治疗方法,尽管治疗方案尚未明确界定。患者需要定期进行适当的随访,以检测是否发生恶变或早期复发。

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本文引用的文献

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Neurofibromatosis.神经纤维瘤病
Eur J Med Res. 2009 Mar 17;14(3):102-5. doi: 10.1186/2047-783x-14-3-102.
2
Neurofibromatosis type 1 revisited.1型神经纤维瘤病再探讨。
Pediatrics. 2009 Jan;123(1):124-33. doi: 10.1542/peds.2007-3204.
3
Peripheral and cranial nerve sheath tumors.周围神经鞘瘤和颅神经鞘瘤。
Curr Opin Neurol. 2005 Oct;18(5):604-10. doi: 10.1097/01.wco.0000179507.51647.02.
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Diagnosis and treatment options for nerve sheath tumors.神经鞘瘤的诊断与治疗选择
Expert Rev Neurother. 2005 Jul;5(4):515-23. doi: 10.1586/14737175.5.4.515.

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