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表现为肾脏肿块的腹膜后胃肠道型神经鞘瘤

Retroperitoneal Gastrointestinal Type Schwannoma Presenting as a Renal Mass.

作者信息

Hall Susan J, Williams Simon T, Jackson Trevor A, Lee Agnes T F, McCulloch Tom A

机构信息

Department of Urology, Royal Derby Hospital, UK.

Department of Histopathology, Royal Derby Hospital, UK.

出版信息

Urol Case Rep. 2015 Aug 29;3(6):206-8. doi: 10.1016/j.eucr.2015.06.011. eCollection 2015 Nov.

Abstract

Retroperitoneal schwannomas are extremely rare, and unreported in Urology. Often thought to be malignant from imaging the diagnosis is often delayed until Histology. We report a case of retroperitoneal schwanoma thought to be a malignant renal mass. Seventy three year old lady presented with abdominal pain. Imaging showed a mass attached to the renal pelvis thus she underwent a radical nephrectomy. Histology reported retroperitoneal schwannoma. Malignant forms are rare however treatment for these is surgical excision. Awareness of the existence of these tumors may help in avoiding unnecessary radical surgeries by opting for biopsy preoperatively.

摘要

腹膜后神经鞘瘤极为罕见,泌尿外科领域尚无相关报道。由于影像学表现常被认为是恶性的,诊断往往延迟至组织学检查之后。我们报告一例被认为是恶性肾肿块的腹膜后神经鞘瘤病例。一位73岁女性因腹痛就诊。影像学检查显示一个与肾盂相连的肿块,因此她接受了根治性肾切除术。组织学检查报告为腹膜后神经鞘瘤。恶性形式很少见,然而其治疗方法是手术切除。认识到这些肿瘤的存在可能有助于通过术前选择活检来避免不必要的根治性手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2e4/4714303/60825baa206d/gr1.jpg

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