Grunstein P, Broquie G, Bazelly B, Roland J
Service de Pneumologie, CHG de Compiègne.
Rev Pneumol Clin. 1988;44(3):146-50.
A new case of schwannoma of the intrathoracic phrenic nerve in a 72-year old woman is reported. A review of the literature shows that this tumour is quite exceptional and that its clinical signs are few and non-specific. The most informative examinations, including MRI, merely provide arguments in favour of the diagnosis prior to surgery. The problems of preservation and repair of the phrenic nerve are discussed in the light of new microsurgical techniques. Our knowledge concerning malignant schwannoma and its recurrent forms is updated.
报告了一例72岁女性胸内膈神经施万细胞瘤的新病例。文献回顾显示,这种肿瘤非常罕见,其临床症状很少且不具有特异性。包括MRI在内的最具诊断价值的检查,仅能在手术前为诊断提供支持依据。根据新的显微外科技术,讨论了膈神经的保留和修复问题。我们对恶性施万细胞瘤及其复发形式的认识也得到了更新。