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[术前诊断为胃神经鞘瘤1例]

[A Case of Gastric Schwannoma Diagnosed Preoperatively].

作者信息

Mitsui Hideo, Yoshida Tomoyuki, Yoshimoto Eri, Iizuka Doichiro, Yoshida Takashi, Kanazawa Nobuo, Kuroiwa Kojiro

机构信息

Dept. of Surgery, Tokyo Metropolitan Geriatric Medical Center.

出版信息

Gan To Kagaku Ryoho. 2020 May;47(5):835-837.

Abstract

The patient was a 52-year-old woman, who was found to have an abnormality in the upper gastrointestinal(UGI)tract, via a contrast-imaging study; she had no symptoms.Computed tomography(CT)revealed a tumor, measuring approximately 100mm in diameter, in the antrum of the stomach.The tumor was diagnosed as gastric schwannoma using endoscopic ultrasonography-guided fine-needle aspiration(EUS-FNA).Preoperative CT revealed multiple lymph adenopathies around the antrum, which led to the suspicion of lymph node metastasis. The patient underwent a laparoscopic partial gastrectomy after the confirmation of the absence of lymph node metastasis by intraoperative rapid diagnosis.

摘要

患者为一名52岁女性,通过造影成像检查发现上消化道(UGI)存在异常;她没有症状。计算机断层扫描(CT)显示胃窦部有一个直径约100mm的肿瘤。通过内镜超声引导下细针穿刺抽吸术(EUS-FNA)将该肿瘤诊断为胃神经鞘瘤。术前CT显示胃窦周围有多个肿大淋巴结,这引发了淋巴结转移的怀疑。在术中快速诊断确认无淋巴结转移后,患者接受了腹腔镜部分胃切除术。

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