Gupta S, Sikora S S, Gupta R, Singh M K, Chattopadhyay T K
Department of Surgery, All India Institute of Medical Sciences, New Delhi.
Jpn J Surg. 1989 Mar;19(2):229-31. doi: 10.1007/BF02471591.
A rare case of presacral neurilemoma is reported herein. Despite the large size of the tumor and the extensive destruction of the sacrum, the patient was almost asymptomatic. Accurate diagnosis depends on careful rectal examination and computerized axial tomography is the most useful single investigation. Surgery is the only treatment and for large lesions, the abdominal approach is usually preferred. Recurrence is rare and patients live a long, symptom free life even after partial resection.
本文报道了一例罕见的骶前神经鞘瘤病例。尽管肿瘤体积巨大且骶骨广泛破坏，但患者几乎没有症状。准确的诊断依赖于仔细的直肠检查，而计算机断层扫描是最有用的单项检查。手术是唯一的治疗方法，对于较大的病变，通常首选经腹入路。复发罕见，即使部分切除后，患者也能长期无症状地生活。
