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胰腺神经鞘瘤——CT与MRI表现:一例罕见病例报告及文献复习

Pancreatic schwannoma- CT and MRI findings: A rare case report and review of literature.

作者信息

Aichouni Narjisse, Abbou Widad, Nasri Siham, Khannoussi Wafaa, Ismaili My Zahi, El Harroudi Tijani, Bennani Amal, Kamaoui Imane, Skiker Imane

机构信息

Radiology Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed I, Oujda, Morocco.

Gastroenterology Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, University Mohammed I, Oujda, Morocco.

出版信息

Ann Med Surg (Lond). 2021 Aug 5;68:102664. doi: 10.1016/j.amsu.2021.102664. eCollection 2021 Aug.

Abstract

INTRODUCTION

Pancreatic schwannoma (PS) is an extremely rare benign tumor. Here we describe the Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) results of PS in a 59 years old woman, as well as a review of the literature.

CASE PRESENTATION

A 59-year-old woman consulted for atypical epigastralgia without fatigue, weight loss or fever. CT scan and MRI showed a 35 mm inhomogeneous lesion with well-defined margins located in the pancreas head. The diagnosis of pancreatic tumor was made. The pathologic examination of the biopsied mass yielded a diagnosis of pancreatic schwannoma.

CLINICAL DISCUSSION

On CT scans, almost all benign PS are well-defined cystic or low-density masses. MRI is helpful in characterizing their typical encapsulation.

CONCLUSION

The detection of pancreatic schwannoma is extremely rare. Although multiple imaging modalities are currently available, it is challenging to make an accurate diagnosis before operation.

摘要

引言

胰腺神经鞘瘤(PS)是一种极为罕见的良性肿瘤。在此,我们描述了一名59岁女性胰腺神经鞘瘤的计算机断层扫描(CT)和磁共振成像(MRI)结果,并对相关文献进行综述。

病例介绍

一名59岁女性因非典型上腹部疼痛前来就诊,无疲劳、体重减轻或发热症状。CT扫描和MRI显示胰腺头部有一个边界清晰的35毫米不均匀病变。诊断为胰腺肿瘤。对活检肿块进行病理检查,诊断为胰腺神经鞘瘤。

临床讨论

在CT扫描中,几乎所有良性胰腺神经鞘瘤都是边界清晰的囊性或低密度肿块。MRI有助于确定其典型的包膜特征。

结论

胰腺神经鞘瘤的检出极为罕见。尽管目前有多种成像方式,但术前准确诊断仍具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54f1/8355828/5248c49eb045/gr1.jpg

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