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阴道黑色素性施万瘤:1例极罕见肿瘤的报告及文献复习

Melanotic Schwannoma of the Vagina: A Report of a Very Rare Tumor and Review of the Literature.

作者信息

Effah Kofi, Seidl Stefan, Gorges Edith, Akakpo Patrick Kafui

机构信息

Battor Catholic Hospital, North Tongu District, Volta Region, Ghana.

22459 Hamburg, Frohmestrasse 59, Hamburg, Germany.

出版信息

Case Rep Obstet Gynecol. 2019 Jun 17;2019:8521834. doi: 10.1155/2019/8521834. eCollection 2019.

DOI:10.1155/2019/8521834
PMID:31316847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6601505/
Abstract

Melanotic schwannoma (MS) is a rare nerve sheath tumor with fewer than 200 cases reported. MS has uncertain malignant potential and comprises 1% of all nerve sheath tumors with a predilection for the spinal nerve roots. An even rarer location for this tumor is the vagina. Up to 55% of MSs that contain psammoma bodies are associated with the Carney complex, an autosomal dominant syndrome. Criteria for malignancy in MS are still not well established and long term follow-up of patients is recommended. A 26-year-old woman presented with a bleeding vaginal tumor which was diagnosed as MS following excision. The clinical, histopathological, and immunohistochemical features of this tumor are discussed.

摘要

黑色素性神经鞘瘤(MS)是一种罕见的神经鞘瘤,报告病例少于200例。MS的恶性潜能不确定,占所有神经鞘瘤的1%,好发于脊神经根。该肿瘤更罕见的部位是阴道。高达55%含有砂粒体的MS与Carney综合征相关,这是一种常染色体显性综合征。MS的恶性标准仍未明确确立,建议对患者进行长期随访。一名26岁女性因阴道出血性肿瘤就诊,切除后诊断为MS。本文讨论了该肿瘤的临床、组织病理学和免疫组化特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a98/6601505/f4652e29825b/CRIOG2019-8521834.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a98/6601505/7b731fdbad01/CRIOG2019-8521834.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a98/6601505/0e474816d942/CRIOG2019-8521834.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a98/6601505/f4652e29825b/CRIOG2019-8521834.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a98/6601505/7b731fdbad01/CRIOG2019-8521834.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a98/6601505/0e474816d942/CRIOG2019-8521834.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a98/6601505/f4652e29825b/CRIOG2019-8521834.003.jpg

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本文引用的文献

1
Pathology of Melanotic Schwannoma.黑色素性雪旺细胞瘤的病理学。
Arch Pathol Lab Med. 2018 Dec;142(12):1517-1523. doi: 10.5858/arpa.2017-0162-RA. Epub 2018 Jan 26.
2
Schwannoma of the vagina - a common tumor but a rare location: A case report.阴道神经鞘瘤——一种常见肿瘤但发病部位罕见:病例报告
Mol Clin Oncol. 2017 Nov;7(5):783-786. doi: 10.3892/mco.2017.1420. Epub 2017 Sep 19.
3
Melanotic Schwannomas Are Rarely Seen Pigmented Tumors with Unpredictable Prognosis and Challenging Diagnosis.黑色素性施万瘤是罕见的色素性肿瘤,预后不可预测,诊断具有挑战性。
Case Rep Pathol. 2017;2017:1807879. doi: 10.1155/2017/1807879. Epub 2017 Oct 3.
4
A Rare Case of Aggressive Melanotic Schwannoma Occurred in Spinal Nerve of a 59-Year-Old Male.一名59岁男性脊神经发生侵袭性黑素性神经鞘瘤的罕见病例。
J Pathol Transl Med. 2017 Sep;51(5):505-508. doi: 10.4132/jptm.2017.01.04. Epub 2017 Apr 4.
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Non psammomatous melanocytic schwannoma presenting as a subcutaneous nodule: A rare presentation of a rare lesion.表现为皮下结节的非砂粒体性黑素细胞性神经鞘瘤:一种罕见病变的罕见表现。
Asian J Neurosurg. 2016 Jul-Sep;11(3):317-8. doi: 10.4103/1793-5482.148789.
6
Psammomatous Melanotic Schwannoma: A Challenging Histological Diagnosis.砂粒体性黑色素性神经鞘瘤:具有挑战性的组织学诊断
Dermatopathology (Basel). 2015 Dec 15;2(3):67-70. doi: 10.1159/000442708. eCollection 2015 Jul-Dec.
7
Psammomatous melanotic schwannoma as a component of Carney complex.砂粒体性黑色素性神经鞘瘤作为卡尼综合征的一个组成部分。
Indian J Pathol Microbiol. 2015 Jul-Sep;58(3):368-70. doi: 10.4103/0377-4929.162903.
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Malignant melanotic schwannian tumor: a clinicopathologic, immunohistochemical, and gene expression profiling study of 40 cases, with a proposal for the reclassification of "melanotic schwannoma".恶性黑色素性雪旺细胞瘤:40 例临床病理、免疫组织化学和基因表达谱研究,并提出“黑色素性雪旺细胞瘤”的重新分类建议。
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Acta Neuropathol. 2012 Mar;123(3):349-67. doi: 10.1007/s00401-011-0935-7. Epub 2011 Dec 31.
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