Mussetto Ilaria, Matos João, Romano Nicola, Cancelli Claudio, Schettini Daria, Gandolfo Nicoletta
Department of Health Sciences DISSAL, University of Genoa, Via Antonio Pastore 1, 16132 Genova, Italy.
Department of Radiology, Villa Scassi Hospital, Corso Scassi 1, 16121 Genova, Italy.
Radiol Case Rep. 2018 Jun 9;13(4):805-809. doi: 10.1016/j.radcr.2018.05.003. eCollection 2018 Aug.
Spinal schwannomas arise from the cells covering the nerves within the spinal canal. In most cases, they remain confined within the intradural extramedullary space, but occasionally they extend into the extradural space resembling abdominal masses. We present a case of very large spinal schwannoma mimicking a renal mass at ultrasound exam. Using contrast-enhanced computed tomography and magnetic resonance imaging we were able to detect and characterize the lesion and consequently assign a preoperative diagnosis later confirmed by the histopathology report. In this paper, we review computed tomography and magnetic resonance imaging features of spinal schwannomas and attempt a summary of possible differential diagnoses.
脊髓神经鞘瘤起源于椎管内神经的被覆细胞。在大多数情况下,它们局限于硬脊膜内髓外间隙,但偶尔会延伸至硬脊膜外间隙,类似腹部肿块。我们报告一例在超声检查时酷似肾肿块的巨大脊髓神经鞘瘤病例。通过对比增强计算机断层扫描和磁共振成像,我们能够检测并明确该病变特征,从而做出术前诊断,最终经组织病理学报告证实。在本文中,我们回顾脊髓神经鞘瘤的计算机断层扫描和磁共振成像特征,并尝试总结可能的鉴别诊断。