Maes Renaud, Ledoux Pascal, de Brouckere Grégoire
Centre Hospitalier EpiCURA Baudour, 7331 Baudour, Belgium.
SICOT J. 2020;6:16. doi: 10.1051/sicotj/2020005. Epub 2020 Jun 8.
The authors report one case of schwannoma located in the sciatic nerve, just above the popliteal fossa. A sciatic localization is rare, observed in 1% of the patients. The misleading clinical presentation of this localization causes a delay in diagnosis. Magnetic Resonance Imaging (MRI) is the imaging modality of choice, but the final diagnosis is made by the histological examination of the tumor. Schwannoma should be surgically removed without division of the nerve trunk.
作者报告了一例位于坐骨神经、腘窝上方的施万细胞瘤。坐骨神经部位的肿瘤较为罕见,仅在1%的患者中观察到。这种部位的临床表现具有误导性,会导致诊断延迟。磁共振成像(MRI)是首选的成像方式,但最终诊断需通过肿瘤的组织学检查来确定。施万细胞瘤应通过手术切除,且不切断神经干。