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神经鞘黏液瘤：一种罕见肿瘤，病例报告及文献综述。

Nerve Sheath Myxoma: A rare tumor, a case report and literature review.

作者信息

Khashaba Haitham, Hafez Eman, Burezq Hisham

机构信息

University Hospital of North Durham, Durham, UK.

Royal Victoria Infirmary, Newcastle Upon Tyne, UK.

出版信息

Int J Surg Case Rep. 2020;73:183-186. doi: 10.1016/j.ijscr.2020.07.030. Epub 2020 Jul 15.

DOI:10.1016/j.ijscr.2020.07.030
PMID:32693231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7533628/
Abstract

INTRODUCTION

Nerve Sheath Myxoma is a rare benign nerve sheath tumor, commonly seen in young adults. Patients usually present with a small nodule commonly affecting upper and lower limbs. Nerve Sheath Myxoma has not been reported in children below the age of 1 year.

CASE PRESENTATION AND METHODS

We present the first reported case of Nerve Sheath Myxoma (NSM) in the hand in a 4-month old child in line with the SCARE 2018 criteria.

DISCUSSION

NSM is difficult to diagnose using standard imaging technique; Magnetic Resonance Imaging (MRI) and Ultrasonography (USS) cannot differentiate it from vascular anomalies.

CONCLUSION

Soft tissue tumors in the hand of pediatric population are difficult to diagnose. Formal excision of the tumor by a specialized pediatric hand surgeon and histopathological analysis were the only avenue to correctly diagnose the NSM.

摘要

引言

神经鞘黏液瘤是一种罕见的良性神经鞘肿瘤，常见于年轻人。患者通常表现为一个小结节，常见于上肢和下肢。1岁以下儿童尚未有神经鞘黏液瘤的报道。

病例介绍与方法

我们根据2018年SCARE标准，报告了首例4个月大儿童手部神经鞘黏液瘤（NSM）病例。

讨论

使用标准成像技术难以诊断NSM；磁共振成像（MRI）和超声检查（USS）无法将其与血管异常区分开来。

结论

儿科人群手部的软组织肿瘤难以诊断。由专业的儿科手外科医生进行肿瘤的正规切除及组织病理学分析是正确诊断NSM的唯一途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/530e935f4d98/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/7f0a56269d42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/343532318f36/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/42deea0559d0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/a8e37f75099d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/8127b9056dea/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/530e935f4d98/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/7f0a56269d42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/343532318f36/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/42deea0559d0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/a8e37f75099d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/8127b9056dea/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f9/7533628/530e935f4d98/gr6.jpg

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本文引用的文献

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Int J Surg. 2018 Dec;60:132-136. doi: 10.1016/j.ijsu.2018.10.028. Epub 2018 Oct 18.
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Dermal and Subcutaneous Plexiform Soft Tissue Neoplasms.皮肤及皮下丛状软组织肿瘤
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Peripheral Nerve Sheath Tumors.周围神经鞘瘤
位于拇趾和腋窝的神经鞘瘤：两例病例报告。
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Nerve Sheath Myxoma in the Lower Extremity: A Rare Case with Description of Magnetic Resonance Imaging and Sonographic Findings.下肢神经鞘黏液瘤：1例罕见病例及磁共振成像和超声检查结果描述
Am J Case Rep. 2021 Apr 5;22:e927922. doi: 10.12659/AJCR.927922.
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Neurothekeoma of the median nerve: case report.正中神经神经鞘瘤：病例报告
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Mod Pathol. 2011 Mar;24(3):343-54. doi: 10.1038/modpathol.2010.203. Epub 2011 Feb 4.
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