伴有淋巴结转移的肾上腺旁恶性神经鞘瘤。
Juxta-adrenal malignant schwannoma with lymph node metastases.
作者信息
Shin Yu Seob, Kim Hyung Jin, Kim Myung Ki
机构信息
Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, South Korea.
出版信息
Can Urol Assoc J. 2013 Sep-Oct;7(9-10):E657-9. doi: 10.5489/cuaj.1217.
Juxta-adrenal malignant schwannoma is a very rare tumour of neural crest cell origin. A 69-year-old woman visited for proper management of incidentally detected adrenal mass as part of a dyspepsia workup. Metabolic evaluation was unremarkable and imaging results suggested a malignant adrenal mass with lymph node metastases. The patient underwent a left adrenalectomy with para-aortic lymphadenectomy. The diagnosis and its origin was confirmed by histologic and immunohistochemical studies. We report the first case of juxta-adrenal malignant schwannoma with lymph node metastases, and review the literature on this rare tumour.
肾上腺旁恶性神经鞘瘤是一种非常罕见的起源于神经嵴细胞的肿瘤。一名69岁女性因消化不良检查偶然发现肾上腺肿块前来寻求恰当治疗。代谢评估无异常，影像学结果提示为肾上腺恶性肿块伴淋巴结转移。患者接受了左肾上腺切除术及腹主动脉旁淋巴结清扫术。组织学和免疫组化研究证实了诊断及其起源。我们报告首例肾上腺旁恶性神经鞘瘤伴淋巴结转移的病例，并对有关这种罕见肿瘤的文献进行综述。
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