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腰大肌神经鞘瘤:腹痛的罕见病因。

Schwannoma of the psoas: An unusual cause of abdominal pain.

作者信息

Makhoul Elias, Kamel Ralph, Hanna Naim

机构信息

Department of Gastroenterology and Hepatology, University Hospital Notre Dame de Secours, Byblos, Lebanon.

Department of Gastroenterology and Hepatology, University Hospital Notre Dame de Secours, Byblos, Lebanon.

出版信息

Arab J Gastroenterol. 2017 Mar;18(1):44-46. doi: 10.1016/j.ajg.2017.01.002. Epub 2017 Feb 28.

Abstract

Schwannomas are usually benign tumours arising from Schwann cells of peripheral nerve sheath. Retroperitoneal location is extremely rare compromising 0.5-5% of all schwannomas, except in patients having von Recklinghausen's disease, in whom retroperitoneal location is more frequent and malignant cases are known to occur. Complete surgical excision with negative margins is the definitive treatment on which the diagnosis is usually made due to nonspecific radiologic appearance. In this article we would like to present an unusual cause of recurrent, abdominal pain in an eighty-six-year-old male.

摘要

施万细胞瘤通常是起源于周围神经鞘雪旺细胞的良性肿瘤。腹膜后定位极为罕见,占所有施万细胞瘤的0.5%-5%,但患有冯·雷克林豪森病的患者除外,这类患者腹膜后定位更为常见,且已知会发生恶性病例。切缘阴性的完整手术切除是决定性治疗方法,通常因非特异性放射学表现而作出诊断。在本文中,我们想介绍一位86岁男性反复腹痛的不寻常病因。

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