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坐骨神经巨大神经鞘瘤

Giant schwannomas of the sciatic nerve.

作者信息

As-Sultany Mohammed, Ben-Ghashir Najla, Mistry Alpesh, Chandrasekar Coonoor

机构信息

Department of Trauma and Orthopaedics, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.

Department of Pathology Services, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.

出版信息

BMJ Case Rep. 2017 Jul 18;2017:bcr-2016-218466. doi: 10.1136/bcr-2016-218466.

Abstract

We report a very rare case of giant schwannomas of the sciatic nerve in a 39-year-old woman who presented with increasing swelling and discomfort in the posterior aspect of her right thigh. We demonstrate that even with such large tumours, surgical excision could be successfully carried out to resolve all symptoms while causing no permanent nerve damage. It remains paramount that large soft tissue tumours get referred to a sarcoma centre and be managed by a specialist multidisciplinary team.

摘要

我们报告了一例非常罕见的坐骨神经巨大施万细胞瘤病例,患者为一名39岁女性,其右大腿后部出现肿胀加剧和不适症状。我们证明,即使是如此大的肿瘤,也可以成功进行手术切除以消除所有症状,且不会造成永久性神经损伤。至关重要的是,大型软组织肿瘤应转诊至肉瘤中心,并由专业的多学科团队进行管理。

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本文引用的文献

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Large schwannoma of the sciatic nerve.坐骨神经大的施万细胞瘤。
BMJ Case Rep. 2016 Nov 2;2016:bcr2016217717. doi: 10.1136/bcr-2016-217717.
2
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J Clin Diagn Res. 2016 Jan;10(1):RD04-5. doi: 10.7860/JCDR/2016/17865.7108. Epub 2016 Jan 1.
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A rare cause of chronic sciatic pain: Schwannoma of the sciatic nerve.慢性坐骨神经痛的罕见病因:坐骨神经鞘瘤。
J Clin Orthop Trauma. 2013 Jun;4(2):89-92. doi: 10.1016/j.jcot.2013.04.001. Epub 2013 Apr 26.
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Sciatic nerve schwannoma: a case report.坐骨神经鞘瘤:一例报告
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6
Sciatic nerve schwannoma: case report.坐骨神经鞘瘤:病例报告
Turk Neurosurg. 2014;24(1):120-2. doi: 10.5137/1019-5149.JTN.7915-13.0.
7
Sciatica due to Schwannoma at the Sciatic Notch.坐骨切迹处神经鞘瘤导致的坐骨神经痛。
Case Rep Orthop. 2013;2013:510901. doi: 10.1155/2013/510901. Epub 2013 May 19.
8
A rare cause of non discal sciatica: schwannoma of the sciatic nerve.一种罕见的非椎间盘性坐骨神经痛病因:坐骨神经鞘瘤。
Orthop Traumatol Surg Res. 2009 Nov;95(7):543-6. doi: 10.1016/j.otsr.2009.05.007. Epub 2009 Oct 24.
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Schwannoma of the posterior tibial nerve: the problem of delay in diagnosis.胫后神经鞘瘤:诊断延迟问题
J Bone Joint Surg Br. 2007 Jun;89(6):814-6. doi: 10.1302/0301-620X.89B6.19077.
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Benign solitary schwannomas: a review of 234 cases.良性孤立性神经鞘瘤:234例病例回顾
J Bone Joint Surg Br. 2007 Mar;89(3):382-7. doi: 10.1302/0301-620X.89B3.18123.

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