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盲肠孤立性神经鞘瘤:病例报告及文献复习

Solitary schwannoma of the cecum: case report and review of the literature.

作者信息

de Mesquita Neto José Wilson Benevides, Lima Verde Leal Renato Mazon, de Brito Eurivaldo Valente, Cordeiro Diego Fonseca, Costa Marcelo Leite Vieira

机构信息

Department of Gastrointestinal Oncology, Institute of Cancer of Ceara, State University of Ceara, Fortaleza, Brazil.

出版信息

Case Rep Oncol. 2013 Jan;6(1):62-5. doi: 10.1159/000346785. Epub 2013 Jan 24.

Abstract

A 78-year-old woman presented with an abdominal mass diagnosed by ultrasound and computed tomography. The patient underwent a laparotomy, during which a retroperitoneal tumor adherent to the cecum wall was identified. Microscopically, it showed spindle-cell proliferation in whorls, with low mitotic count (2 per 50 high-power fields) and was strongly positive for S-100 protein and vimentin. The final diagnosis was benign schwannoma of the cecum and no further treatment was required. Large intestine schwannomas are extremely rare tumors and only a few cases of schwannoma of the cecum have been reported to date.

摘要

一名78岁女性因超声和计算机断层扫描诊断出腹部肿块。患者接受了剖腹手术,术中发现一个附着于盲肠壁的腹膜后肿瘤。显微镜下,肿瘤呈漩涡状梭形细胞增生,有丝分裂计数低(每50个高倍视野2个),S-100蛋白和波形蛋白呈强阳性。最终诊断为盲肠良性神经鞘瘤,无需进一步治疗。大肠神经鞘瘤是极其罕见的肿瘤,迄今为止仅报道了少数几例盲肠神经鞘瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/154a/3573817/6971da3ff3f2/cro-0006-0062-g01.jpg

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