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腰椎移动性神经鞘瘤:诊断难题。

Mobile Schwannomas of lumbar spine: A diagnostic dilemma.

作者信息

Kothari Ajay, Singh Navdeep, Anjum Rashid

机构信息

Sancheti Hospital Pune, Maharashtra, India.

SGRRIMS, Uttrakhand, India.

出版信息

J Clin Orthop Trauma. 2017 Apr-Jun;8(2):197-200. doi: 10.1016/j.jcot.2017.06.008. Epub 2017 Jun 14.

Abstract

Mobile Schwannoma is a very rare entity and is reported sparsely in literature, with most of them occurring in lumbar spine region. We present a case of seventy-year-old male patient who had pain in lower back radiating to ipsilateral thigh. A diagnosis of migratory tumour was made based on findings of plain and contrast MRI preoperatively. We did a two level laminectomy and tumour excision. In this report, we intend to discuss various likely causes of tumour migration and various diagnostic methods to tackle this surgical dilemma, we have also attempted to review the sparse literature available till date on migratory lumber schwannoma.

摘要

游走性神经鞘瘤是一种非常罕见的疾病,文献报道稀少,其中大多数发生在腰椎区域。我们报告一例70岁男性患者,其下背部疼痛并放射至同侧大腿。根据术前平扫和增强MRI的结果诊断为游走性肿瘤。我们进行了两级椎板切除术和肿瘤切除术。在本报告中,我们打算讨论肿瘤游走的各种可能原因以及解决这一手术难题的各种诊断方法,我们还试图回顾迄今为止关于游走性腰椎神经鞘瘤的稀少文献。

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