Colonna Michele R, Costa Alfio L, Mastrojeni Claudio, Rizzo Vincenzo, Nirta Giuseppe, Angileri Filippo F, Ieni Antonio, Milone Erica, Macrì Antonio
Department of Human Pathology of the Adult, the Child and the Adolescent, University of Messina, Messina, Italy.
Unit of Vascular Surgery, CardioVascular and Thoracic Department, University of Messina, Messina, Italy.
J Surg Case Rep. 2021 Oct 31;2021(10):rjab460. doi: 10.1093/jscr/rjab460. eCollection 2021 Oct.
Schwannomas are mainly benign tumors arising from the Schwann cells of the peripheral nerve sheath. These tumors can often be associated with non-specific symptoms, such as abdominal heaviness. In this article, we present a detailed description of the surgical management of a giant sacral schwannoma in an elderly patient, for which intraoperative neuromonitoring made it possible to distinguish easily the nerves of the sacral plexus from which the tumor originated and to remove it without complications. Treatment of these rare and symptomatic giant tumors is still a challenge for surgeons; to treat adequately these tumors; a multidisciplinary approach is required to ensure an optimal therapeutic approach to reduce the risk of recurrence and, on the other hand, is not associated with unnecessary iatrogenic neurological damage.
施万细胞瘤主要是起源于周围神经鞘雪旺细胞的良性肿瘤。这些肿瘤常伴有非特异性症状，如腹部坠胀感。在本文中，我们详细描述了一名老年患者巨大骶骨施万细胞瘤的手术治疗情况，术中神经监测使得能够轻松区分肿瘤起源的骶丛神经，并在无并发症的情况下将其切除。对于外科医生而言，治疗这些罕见且有症状的巨大肿瘤仍是一项挑战；为了充分治疗这些肿瘤，需要多学科方法以确保采取最佳治疗方案，降低复发风险，另一方面又不造成不必要的医源性神经损伤。
