Radojkovic Milan, Mihailovic Dragan, Stojanovic Miroslav, Radojković Danijela
1 Surgery Department, University of Nis Medical School, Bul. Dr Z. Djindjica 81, Serbia.
2 Pathology Department, University of Nis Medical School, Bul. Dr Z. Djindjica 81, Serbia.
J Int Med Res. 2018 Aug;46(8):3404-3410. doi: 10.1177/0300060518776474. Epub 2018 Jun 13.
Schwannomas are tumours that arise from Schwann cells of the peripheral nerve sheath and rarely occur in the retroperitoneum. We report a 45-year-old woman who presented with a 2-year history of continuous progressive right-sided lower back and dull flank pain radiating into her posterolateral thigh. Abdominal magnetic resonance imaging showed a homogenous soft-tissue tumour with thick capsular lining, which lay in the right retroperitoneum. The tumour was removed at surgery. A histological examination confirmed the diagnosis of benign encapsulated cellular schwannoma. Complete tumour excision should be regarded as the treatment of choice for benign retroperitoneal schwannomas. Successful treatment of these tumours requires thorough preoperative planning and a multidisciplinary approach.
施万细胞瘤是起源于周围神经鞘雪旺细胞的肿瘤，很少发生于腹膜后。我们报告一名45岁女性，有2年持续性进行性右侧下背部及钝痛性胁腹疼痛病史，疼痛放射至右大腿后外侧。腹部磁共振成像显示一个均匀的软组织肿瘤，有厚的包膜，位于右腹膜后。该肿瘤在手术中被切除。组织学检查确诊为良性包膜性细胞型施万细胞瘤。完整肿瘤切除应被视为良性腹膜后施万细胞瘤的首选治疗方法。成功治疗这些肿瘤需要全面的术前规划和多学科方法。
