Hara T, Matsuge S, Yamazaki S, Kashiyama M, Izumi H, Mizoe A, Takada M, Hatakeyama H, Takada G, Sugihara T
Dept. of Surgery, Kin-ikyo Chuo Hospital, Sapporo.
Gan No Rinsho. 1990 Feb;36(2):199-204.
Reported is a case of a malignant neuroepithelioma in the retroperitoneum. The patient was a 37-year-old male suffering from lumbago and edema of the lower extremities. After ultrasonography and a CT scan, a diagnosis of a retroperitoneal tumor was made and a surgical resection of the tumor was performed in October, 1985. The subsequent pathological diagnosis was malignant neuroepithelioma which showed epithelioid cell clusters that stained positively to NSE. Eleven months later, metastatic tumors were seen present in the lungs and the liver though they regressed markedly after adjuvant chemotherapy with ADM, CPM, and VCR. Forty-one months after his first operation, the patient continues to work. In this case, adjuvant chemotherapy has proved effective.
报告了一例腹膜后恶性神经上皮瘤病例。患者为一名37岁男性，患有腰痛和下肢水肿。经超声检查和CT扫描后，诊断为腹膜后肿瘤，并于1985年10月对肿瘤进行了手术切除。随后的病理诊断为恶性神经上皮瘤，其显示上皮样细胞簇对NSE呈阳性染色。11个月后，肺部和肝脏出现转移性肿瘤，不过在接受阿霉素、环磷酰胺和长春新碱辅助化疗后，肿瘤明显消退。首次手术后41个月，该患者仍继续工作。在这个病例中，辅助化疗已被证明是有效的。
