Imai H, Kobayashi J, Manabe R, Namio H, Ichinona T
Department of Internal Medicine, Okayama Kyoritsu Hospital, Japan.
Gastroenterol Jpn. 1989 Aug;24(4):421-4. doi: 10.1007/BF02774351.
A case of solitary neurofibroma in the retroperitoneum involving the uncinate process of the pancreas, which has been reported in only one case in Japan and less than 20 cases in the world literature, is described. A 57-year-old male complained of back pain and microhematuria. Plain and enhanced abdominal computed tomography (CT) indicated an 8 x 6 cm hypovascular tumor located in the uncinate process. We initially assumed it to be a cancer of the pancreas. His physical examination and blood chemistry result were normal. Various diagnostic imaging methods however, disclosed a rare type of tumor. The tumor was resected by pancreaticoduodenectomy and histological examination revealed it to be neurofibroma.
本文描述了一例发生于腹膜后的孤立性神经纤维瘤，该肿瘤累及胰腺钩突。在日本仅有一例相关报道，在世界文献中报道不足20例。一名57岁男性患者因背痛和微量血尿就诊。腹部平扫及增强计算机断层扫描（CT）显示，胰腺钩突部有一个8×6cm的低血运肿瘤。我们最初认为这是一例胰腺癌。患者的体格检查和血液生化检查结果均正常。然而，多种诊断性影像学检查显示这是一种罕见类型的肿瘤。通过胰十二指肠切除术切除肿瘤，组织学检查显示为神经纤维瘤。
