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胃肠道神经鞘瘤及文献简要综述

Gastrointestinal tract schwannomas and brief review of literature.

作者信息

Çolak Şükrü, Gürbulak Bünyamin, Çelik Gürhan, Bektaş Hasan, Dursun Nevra

机构信息

Clinic of General Surgery, University of Health Sciences Istanbul Training and Research Hospital, Istanbul, Turkey.

Department of Pathology, University of Health Sciences Istanbul Training and Research Hospital, Istanbul, Turkey.

出版信息

Turk J Surg. 2021 Dec 31;37(4):408-412. doi: 10.47717/turkjsurg.2021.4286. eCollection 2021 Dec.

Abstract

Schwannomas originating from Schwann cells arise from the peripheral nerve sheath and are slow-growing, benign tumors that originate mostly from the mesenchyme. It appears equally in both sexes. Schwannomas are often seen in the 3rd and 5th decades of life. Schwannomas can be seen everywhere where peripheral nerves are seen. Gastrointestinal schwannomas constitute 2-6% of all submucosal masses, and the stomach is the most common region (60-70%). Endoscopic Ultrasound (EUS)-guided sampling of gastrointestinal submucosal lesions has made it possible to achieve preop- erative differential diagnosis. Patients diagnosed with gastrointestinal schwannomas between January 2005 and December 2017 were included in this study. Three out of six patients were females. Median age was 52.5 (44-76) years. Schwannomas were found in two patients in the gastric region, one patient in the appendiceal region, two patients in the colon and one patient in the perianal region. Primary schwannomas are usually benign. Radical resection with free margin is necessary because of the risk of malignant degeneration; chemo and radiotherapy response is indeterminate, and local recurrence rates are high.

摘要

起源于施万细胞的神经鞘瘤源自周围神经鞘,是生长缓慢的良性肿瘤,主要起源于间充质。男女发病率相同。神经鞘瘤常见于30至50岁人群。在所有可见周围神经的部位均可发现神经鞘瘤。胃肠道神经鞘瘤占所有黏膜下肿物的2%至6%,其中胃是最常见的部位(60%至70%)。内镜超声(EUS)引导下对胃肠道黏膜下病变进行采样使得术前鉴别诊断成为可能。本研究纳入了2005年1月至2017年12月期间诊断为胃肠道神经鞘瘤的患者。6例患者中有3例为女性。中位年龄为52.5(44至76)岁。胃区发现2例神经鞘瘤,阑尾区1例,结肠2例,肛周1例。原发性神经鞘瘤通常为良性。由于存在恶变风险,需要进行切缘阴性的根治性切除;化疗和放疗反应不确定,局部复发率高。

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