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腹腔镜手术联合双 J 管植入术治疗罕见精囊囊实性 schwann 瘤:病例报告及文献复习。

Laparoscopic surgery combined with the double-J tube implantation for the rare cystic-solid schwannoma of seminal vesicle: A Case Report and Literature Review.

机构信息

Department of Urology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China.

The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China.

出版信息

Medicine (Baltimore). 2022 Jul 15;101(28):e29352. doi: 10.1097/MD.0000000000029352.

Abstract

RATIONALE

Schwannoma is common in young and middle-aged people and occurs in the head, neck, posterior mediastinum, and retroperitoneal. Schwannoma, on the other hand, is a rare occurrence in the seminal vesicle. Early diagnosis and treatment are crucial since the disease can cause lower abdominal pain, nocturia, frequent urination, blood sperm, and other symptoms. There is no standard diagnostic or treatment guideline for seminal vesicle schwannomas currently. Therefore, the treatment experience relies on the few cases reported throughout the world.

PATIENT CONCERNS

A 45-year-old male patient discovered that the tumor beside the right side spermatophore is bigger than 3 years ago.

DIAGNOSIS

Schwannoma of seminal vesicle.

INTERVENTIONS

Ureter double-J tube implantation and laparoscopic surgery for schwannoma of seminal vesicle.

OUTCOMES

The operation process went smoothly. And the patient was no discomfort after half a year.

CONCLUSION

Schwannoma of the seminal vesicle is very rare in the clinic, and the imaging examination was not conclusive. The diagnosis mainly depends on pathological results. Surgical resection is the best treatment method for schwannoma. In surgery for schwannoma of seminal vesicle, combined with the ureter double-J tube implantation are many benefits. This case is an excellent example of the seminal vesicle schwannomas.

摘要

背景

神经鞘瘤常见于中青年人群,发生于头颈部、后纵隔和腹膜后。另一方面,精囊神经鞘瘤较为罕见。由于该病可引起下腹痛、夜尿、尿频、血精等症状,早期诊断和治疗至关重要。目前尚无精囊神经鞘瘤的标准诊断或治疗指南,因此,治疗经验依赖于世界各地报道的少数病例。

患者关注

一名 45 岁男性患者发现右侧精索旁肿瘤已有 3 年以上。

诊断

精囊神经鞘瘤。

干预措施

输尿管双 J 管植入和腹腔镜手术治疗精囊神经鞘瘤。

结果

手术过程顺利,半年后患者无不适。

结论

精囊神经鞘瘤在临床上非常罕见,影像学检查无明确结论,主要依靠病理结果诊断。手术切除是治疗神经鞘瘤的最佳方法。在精囊神经鞘瘤的手术中,联合输尿管双 J 管植入有许多益处。该病例是精囊神经鞘瘤的一个很好的例子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f406/11132320/23b639770124/medi-101-e29352-g001.jpg

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