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精囊多发性神经鞘瘤:一例报告。

Multiple schwannoma of the seminal vesicle: A case report.

作者信息

Zhang Yan, Zhao Jing, Xu Pan, Qi Qi

机构信息

Department of Medical Ultrasound, The First Affiliated Hospital of Nanchang University.

Department of Radiology, Jiangxi Maternal and Child Health Hospital, Nanchang, China.

出版信息

Medicine (Baltimore). 2020 Aug 14;99(33):e21603. doi: 10.1097/MD.0000000000021603.

Abstract

RATIONALE

Schwannomas of the seminal vesicles are extremely rare, and only cases of single seminal vesicle schwannomas have been reported. Here, we report a case of multiple schwannoma of the seminal vesicle.

PATIENT CONCERNS

We report a rare case of multiple schwannoma of the seminal vesicle that occurred in a 48-year-old man during physical examination. Multiple mixed masses in the left region of the seminal vesicle were documented with transrectal ultrasonography and magnetic resonance imaging. The patient presented no clinical symptoms, no family history of the disease and no history of genetic disease.

DIAGNOSIS

Postoperative pathology revealed a diagnosis of seminal vesical schwannoma.

INTERVENTIONS

The patient underwent robotic-assisted laparoscopic surgery to remove the mass.

OUTCOMES

The patient recovered rapidly and the length of hospitalization was 6 days after operation. At present, there is no recurrence in 10 month follow up.

LESSONS

Whether benign or malignant, single or multiple, schwannomas still need to be diagnosed by pathology because of the limitations of examination methods. Surgical resection is still the preferred treatment.

摘要

理论依据

精囊神经鞘瘤极为罕见,仅报道过单发性精囊神经鞘瘤病例。在此,我们报告一例多发性精囊神经鞘瘤病例。

患者情况

我们报告一例罕见的多发性精囊神经鞘瘤,发生于一名48岁男性的体格检查期间。经直肠超声和磁共振成像记录显示精囊左侧区域有多个混合性肿块。该患者无临床症状,无家族病史及遗传病史。

诊断

术后病理显示为精囊神经鞘瘤。

干预措施

患者接受了机器人辅助腹腔镜手术以切除肿块。

结果

患者恢复迅速,术后住院时间为6天。目前,随访10个月无复发。

经验教训

由于检查方法的局限性,无论神经鞘瘤是良性还是恶性,单发还是多发,仍需通过病理诊断。手术切除仍是首选治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b74/7437769/aa010d505ca2/medi-99-e21603-g001.jpg

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