Çakır Tuğrul, Aslaner Arif, Yaz Müjgan, Gündüz Umut rıza
Antalya Training and Research Hospital, Antalya, Turkey.
Department of Pathology, Antalya Training and Research Hospital, Antalya, Turkey.
BMJ Case Rep. 2015 May 14;2015:bcr2014208934. doi: 10.1136/bcr-2014-208934.
Colonic schwannomas are very rare gastrointestinal tumours originating from Schwann cells, which form the neural sheath. Primary schwannomas of the lower gastrointestinal tract are very rare and usually benign in nature. However, if they are not surgically removed, malign degeneration can occur. We report a case of a 79-year-old woman who presented to our clinic with rectal bleeding and constipation. She underwent a lower gastrointestinal tract endoscopy. A mass subtotally obstructing the lumen of the sigmoid colon was seen and biopsies were taken. Histopathological examination indicated a suspicion of gastrointestinal tumour and the patient underwent sigmoid colon resection after preoperative evaluation by laboratory analysis, abdominal ultrasonography and CT. Her postoperative course was uneventful and she was discharged on the fifth day for outpatient control. The histopathology report revealed schwannoma of the sigmoid colon. This was a case of schwannoma of the sigmoid colon that was successfully treated with total resection.
结肠神经鞘瘤是一种非常罕见的起源于形成神经鞘的施万细胞的胃肠道肿瘤。下消化道原发性神经鞘瘤非常罕见,通常为良性。然而,如果不进行手术切除,可能会发生恶性变。我们报告一例79岁女性患者,因直肠出血和便秘前来我院就诊。她接受了下消化道内镜检查。发现一个几乎完全阻塞乙状结肠腔的肿块,并进行了活检。组织病理学检查提示怀疑为胃肠道肿瘤,患者在经过实验室分析、腹部超声和CT等术前评估后接受了乙状结肠切除术。她术后恢复顺利,于第五天出院进行门诊随访。组织病理学报告显示为乙状结肠神经鞘瘤。这是一例通过全切除成功治疗的乙状结肠神经鞘瘤病例。