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采用根治性阴茎切除术治疗的阴囊内巨大睾丸旁恶性外周神经鞘瘤:病例报告

Large para-testicular intra-scrotal malignant peripheral nerve sheath tumor managed with radical penectomy: A case report.

作者信息

Kazarian Austin G, West Jeremy M, Brown James A, Erickson Bradley A, Gellhaus Paul T

机构信息

University of Iowa Carver College of Medicine, Iowa City, IA, USA.

Department of Urology, University of Iowa, Iowa City, IA, USA.

出版信息

Urol Case Rep. 2021 Apr 26;38:101695. doi: 10.1016/j.eucr.2021.101695. eCollection 2021 Sep.

DOI:10.1016/j.eucr.2021.101695
PMID:33996500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8102162/
Abstract

Neurofibromatosis 1 is a relatively rare genetic disease characterized by widespread neurofibromas originating from the peripheral nervous system. Most growths are benign, but some carry a risk of transformation to malignant peripheral nerve sheath tumors. Although these growths can be found anywhere in the body, they are rarely found in the male external genitalia. This report discusses a case of a 25-year-old male patient with neurofibromatosis 1 presenting with a scrotal mass found to have a very large para-testicular intra-scrotal malignant peripheral nerve sheath tumor that required testicle-sparing radical penectomy.

摘要

神经纤维瘤病1型是一种相对罕见的遗传性疾病,其特征是起源于周围神经系统的广泛神经纤维瘤。大多数肿瘤是良性的,但有些有转变为恶性周围神经鞘瘤的风险。虽然这些肿瘤可在身体任何部位发现,但很少见于男性外生殖器。本报告讨论了一例25岁患有神经纤维瘤病1型的男性患者,其阴囊肿物被发现为一个非常大的睾丸旁阴囊内恶性周围神经鞘瘤,需要进行保留睾丸的根治性阴茎切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8f7/8102162/5c832bd58d58/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8f7/8102162/8fa0ee8cd883/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8f7/8102162/7068a77d67ed/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8f7/8102162/5c832bd58d58/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8f7/8102162/8fa0ee8cd883/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8f7/8102162/7068a77d67ed/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8f7/8102162/5c832bd58d58/gr3.jpg

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本文引用的文献

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Selumetinib in Children with Inoperable Plexiform Neurofibromas.索拉非尼治疗不可手术的丛状神经纤维瘤患儿的疗效观察。
N Engl J Med. 2020 Apr 9;382(15):1430-1442. doi: 10.1056/NEJMoa1912735. Epub 2020 Mar 18.
2
Treatment of neurofibromatosis 1-associated malignant peripheral nerve sheath tumors: a systematic review.治疗神经纤维瘤病 1 相关的恶性外周神经鞘瘤:系统评价。
Neurosurg Rev. 2020 Aug;43(4):1039-1046. doi: 10.1007/s10143-019-01135-y. Epub 2019 Jun 17.
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Neurofibromatosis type 1.神经纤维瘤病 1 型。
Nat Rev Dis Primers. 2017 Feb 23;3:17004. doi: 10.1038/nrdp.2017.4.
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Malignant Peripheral Nerve Sheath Tumor.恶性外周神经鞘膜瘤
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Malignant peripheral nerve sheath tumor of the scrotum: a case report.阴囊恶性外周神经鞘瘤:一例报告
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